Organization
ESP CASE MANAGEMENT PROFESSIONAL, INC
Active
Parent organization
ESP CASE MANAGEMENT PROFESSIONALS, INC
Other names
ESP Cse Management Professionals, Inc., ESP Case Management Professionals, Inc., ESP Case Management Professionals, Inc, ESP Case Management Professionals, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESP CASE MANAGEMENT PROFESSIONALS, INC
Authorized official
MARY L FAGARAGAN (PRESIDENT)
(386) 760-7533
Entity
Organization
Contact information
Practice address
687 BEVILLE RD STE A, SOUTH DAYTONA, FL 32119-1970
(386) 760-7533
(386) 761-5868
Mailing address
687 BEVILLE RD STE A, SOUTH DAYTONA, FL 32119-1970
(386) 760-7533
(386) 761-5868
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110146900
—
FL
Enumeration date
09/09/2021
Last updated
10/10/2023
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