# 4CS HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851976997
- **Authorized official:** SHANISHA CALLOWAY KIRK (CEO)
- **Authorized official phone:** (813) 357-4546

## Contact information

- **Practice address:** 1317 EDGEWATER DR STE 399, ORLANDO, FL 32804-6350
- **Practice address phone:** (813) 357-4546
- **Practice address fax:** (813) 946-9596
- **Mailing address:** 1317 EDGEWATER DR STE 399, ORLANDO, FL 32804-6350
- **Mailing address fax:** (813) 946-9596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 05/21/2021