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Organization
FLORIDA SERVICE GROUP LLC
Active
Organization
FLORIDA SERVICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMARA SMITH M.A. (DIRECTOR)
(404) 694-4298
Entity
Organization
Contact information
Practice address
5648 TOMOKA DR, ORLANDO, FL 32839-2849
(404) 694-4298
(407) 992-9464
Mailing address
5648 TOMOKA DR, ORLANDO, FL 32839-2849
(404) 694-4298
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
305S00000X
Point of Service
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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