Organization
CHILDREN'S HOME SOCIETY OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON MERKLEY (OUTPATIENT PROGRAM SUPERVISOR)
(904) 794-0268
Entity
Organization
Contact information
Practice address
25 DELTONA BLVD STE 5, ST AUGUSTINE, FL 32086-4204
(904) 794-0268
Mailing address
25 DELTONA BLVD STE 5, ST AUGUSTINE, FL 32086-4204
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
07-1582-000-05
FL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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