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Organization
CMS ROCKLEDGE
Active
Organization
CMS ROCKLEDGE
Active
Other names
Florida Department of Health Childrens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHLEEN MARK (REGIONAL PROGRAM ADMINISTRATOR)
(407) 858-5579
Entity
Organization
Contact information
Practice address
2565 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 639-5888
(321) 690-3887
Mailing address
2565 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 639-5888
(321) 690-3887
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
FL
Other
Enumeration date
10/18/2006
Last updated
11/14/2013
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