Organization
SUPPORT COORDINATION SERVICES OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVADNIE WALTERS MBA (CEO)
(407) 844-0747
Entity
Organization
Contact information
Practice address
5212 MILL STREAM RD, OCOEE, FL 34761-8120
(407) 844-0747
(407) 574-7350
Mailing address
5212 MILL STREAM RD, OCOEE, FL 34761-8120
(407) 844-0747
(407) 574-7350
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
689607396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689607396
—
FL
Enumeration date
12/17/2013
Last updated
12/17/2013
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