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Organization
PRINCETON PROFESSIONAL SERVICES
Active
Organization
PRINCETON PROFESSIONAL SERVICES
Active
Other names
Florida Hospital Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN STILTZ (DIRECTOROFFICER)
(407) 691-8200
Entity
Organization
Contact information
Practice address
600 COURTLAND ST, # 300, ORLANDO, FL 32804-1332
(407) 691-8200
(407) 691-8222
Mailing address
600 COURTLAND ST, # 300, ORLANDO, FL 32804-1332
(407) 691-8200
(407) 691-8222
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20383096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107211
UNISON HEALTH PLAN MCR
FL
01
—
AMERIGROUP
115555
FL
01
—
H56
BLUE CROSS BLUE SHIELD OF
FL
01
—
HIGHMARK BCBS MCR
107211
FL
Enumeration date
08/30/2006
Last updated
08/22/2020
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