Organization
4CS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANISHA CALLOWAY KIRK (CEO)
(813) 357-4546
Entity
Organization
Contact information
Practice address
1317 EDGEWATER DR STE 399, ORLANDO, FL 32804-6350
(813) 357-4546
(813) 946-9596
Mailing address
1317 EDGEWATER DR STE 399, ORLANDO, FL 32804-6350
(813) 946-9596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
05/21/2021
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