Organization
COMMUNITY OUTREACH SERVICE CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE R. SMITH (DIRECTOR)
(407) 913-4680
Entity
Organization
Contact information
Practice address
3239 OLD WINTER GARDEN RD STE 10, ORLANDO, FL 32805-1122
(407) 913-4680
(407) 704-2559
Mailing address
2165 S IVEY LN, ORLANDO, FL 32811-4980
(407) 913-4680
(407) 704-2559
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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