Organization
FAMILY SUPPORTIVE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO RIVERA III (PRESIDENT)
(321) 443-7191
Entity
Organization
Contact information
Practice address
439 GASTON FOSTER RD STE E, ORLANDO, FL 32807-1231
(406) 617-6438
(407) 612-2320
Mailing address
3510 RODRICK CIR, ORLANDO, FL 32824-4294
(321) 443-7191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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