# CMS ORLANDO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Department of Health Childrens Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790866275
- **Authorized official:** MRS. CATHLEEN MARK (REGIONAL PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (407) 858-5579

## Contact information

- **Practice address:** 7000 LAKE ELLENOR DRIVE, ORLANDO, FL 32809
- **Practice address phone:** (407) 858-5555
- **Practice address fax:** (407) 856-6597
- **Mailing address:** 7000 LAKE ELLENOR DRIVE, ORLANDO, FL 32809
- **Mailing address phone:** (407) 858-5555
- **Mailing address fax:** (407) 856-6597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | FL | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 11/13/2013