Organization
BRIDGE BUILDERS AOAF CENTRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORIS WILLIAMS BATTLE (OWNER)
(407) 296-0002
Entity
Organization
Contact information
Practice address
6873 W COLONIAL DR, ORLANDO, FL 32818-6827
(407) 296-0002
(407) 295-2008
Mailing address
6873 W. COLONIAL DR.., ORLANDO, FL 32818
(407) 296-0002
(407) 295-2008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
25B00000X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
676829696
—
FL
Enumeration date
01/17/2014
Last updated
01/17/2014
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