Fresh Start Solution

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FRESH START SOLUTION

Practice address

7754 Clementine Way
Orlando, FL 32819-4612

Phone

(863) 241-8634

NPI assigned

Dec 10, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyshawn Clerk

Title

Ceo

Phone

(863) 241-8634

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512864000000",
    "number": "1033624234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 CLEMENTINE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194612",
            "telephone_number": "863-241-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 CLEMENTINE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194612",
            "telephone_number": "863-241-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A",
        "authorized_official_last_name": "CLERK",
        "authorized_official_first_name": "TYSHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-241-8634"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Danielle French, DO
• Melissa Louise French, FNP
• Karin Noel Doninger Frenyea, APRN
• Fresenius Vascular Care Four Corners ASC LLC
• Fresh Clean Solutions LLC
• Fresh Start Therapy Services, LLC
• Christian Frey, MD
• Nicole Marie Frey, PTA
• Jaqueline Mariette Freyre-Cubano, MD
• Alice Freytes

• Case Management Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.