Organization
CARLTON PALMS EDUCATIONAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DUGO M.ED. (STATE DIRECTOR)
(352) 735-0588
Entity
Organization
Contact information
Practice address
28308 CHURCHILL SMITH LN, MOUNT DORA, FL 32757-9301
(352) 735-0588
Mailing address
28334 CHURCHILL SMITH LN, MOUNT DORA, FL 32757-9301
(352) 383-7612
(352) 735-2786
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001625600
—
FL
Enumeration date
11/01/2006
Last updated
06/05/2015
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