Support Coordination Services of Florida, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

689607396 Issued in FL

Legal business name

SUPPORT COORDINATION SERVICES OF FLORIDA, LLC

Practice address

5212 Mill Stream Rd
Ocoee, FL 34761-8120

Phone

(407) 844-0747

Fax

(407) 574-7350

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Evadnie Walters, MBA

Title

Ceo

Phone

(407) 844-0747

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1144641176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 MILL STREAM RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618120",
            "telephone_number": "407-844-0747",
            "fax_number": "407-574-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 MILL STREAM RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618120",
            "telephone_number": "407-844-0747",
            "fax_number": "407-574-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT COORDINATION SERVICES OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "EVADNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-844-0747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "689607396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689607396",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Ocoee, FL
• Providers in Ocoee, 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 17, 2013; 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.