Organization
CHILDREN'S CARE CAMPUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSIA OHLMACHER (FINANCIAL SERVICES MANAGER)
(407) 513-3000
Entity
Organization
Contact information
Practice address
196 SOUTH SEMORAN BLVD., ORLANDO, FL 32807-3293
(407) 513-3000
(407) 515-6537
Mailing address
4448 EDGE WATER DRIVE, ORLANDO, FL 32804-1216
(407) 513-3000
(407) 515-6537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60080980
FL
2251P0200X
Pediatric Physical Therapist
60080980
FL
225X00000X
Occupational Therapist
60080980
FL
225XP0200X
Pediatric Occupational Therapist
60080980
FL
227800000X
Certified Respiratory Therapist
60080980
FL
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
60080980
FL
235Z00000X
Speech-Language Pathologist
60080980
FL
261QM3000X
Medically Fragile Infants and Children Day Care
60080980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240014601
—
FL
Enumeration date
11/02/2006
Last updated
04/14/2015
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