Organization
COMMUNITY CONNECTIONS OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATERIKA WILLIAMS (CHIEF EXECUTIVE OFFICER)
(407) 687-3105
Entity
Organization
Contact information
Practice address
1445 DOLGNER PL STE 23, SANFORD, FL 32771-9204
(407) 687-3105
Mailing address
1445 DOLGNER PL STE 23, SANFORD, FL 32771-9204
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
FL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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