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Organization

CROHNS DISEASE FOUNDATION OF FLORIDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS REED THOMPSON (DIRECTOR)
(407) 574-8167
Entity
Organization

Contact information

Practice address
3216 HOLLIDAY AVE, APOPKA, FL 32703-6636
(407) 574-8167
Mailing address
3216 HOLLIDAY AVE, APOPKA, FL 32703-6636

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
T512836864550
FL
332B00000X
Durable Medical Equipment & Medical Supplies
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T512836864550
FL
Enumeration date
12/01/2011
Last updated
12/01/2011
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