Individual
MADISON ANDROSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E MAIN ST # 291, LAKELAND, FL 33801-4655
(216) 309-4636
Mailing address
122 E MAIN ST # 291, LAKELAND, FL 33801-4655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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