Organization
CARE COORDINATION MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA CASSIDENTE (CO OWNER)
(772) 539-2680
Entity
Organization
Contact information
Practice address
7775 134TH ST, SEBASTIAN, FL 32958-3740
(772) 473-4151
Mailing address
7775 134TH ST, SEBASTIAN, FL 32958-3740
(772) 473-4151
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109892700
—
FL
Enumeration date
01/28/2022
Last updated
01/28/2022
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