Organization
PROJECT INDEPENDENCE AT HOME
Active
Parent organization
FLORIDA PACE CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA PACE CENTERS
Authorized official
CLIFF BAUER (EXECUTIVE DIRECTOR)
(305) 762-1380
Entity
Organization
Contact information
Practice address
7415 CORPORATE CENTER DR, BUILDING 6 BAY H, MIAMI, FL 33126-1204
(305) 758-0021
(305) 758-7406
Mailing address
7415 CORPORATE CENTER DR, BUILDING 6 BAY H, MIAMI, FL 33126-1204
(305) 758-0021
(305) 758-7406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015032101
—
FL
05
—
015032110
—
FL
Enumeration date
04/02/2012
Last updated
04/02/2012
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