Organization
CHILDREN'S CARE CAMPUS, INC.
Active
Other names
CHILDRENFIRST PPEC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C JUSTICE (CONTRACT ADMINISTRATOR)
(407) 513-3000
Entity
Organization
Contact information
Practice address
7621 W COLONIAL DR, ORLANDO, FL 32818-6667
(407) 513-3000
(407) 515-6537
Mailing address
4448 EDGEWATER DR, ORLANDO, FL 32804-1216
(407) 513-3000
(407) 515-6537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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