Organization
CHILDREN'S HOME SOCITY OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN TOSOLINI (PROVIDER RELATIONS MANAGER)
(407) 375-2565
Entity
Organization
Contact information
Practice address
20162 CORTEZ BLVD, BROOKSVILLE, FL 34601-3832
(352) 754-1111
Mailing address
1485 S SEMORAN BLVD, SUITE 1448, WINTER PARK, FL 32792-5533
(321) 397-3000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
100005094
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070971915
—
FL
Enumeration date
08/16/2010
Last updated
08/02/2021
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