Independence Inc. of Central Florida

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

679999096 Issued in FL

Legal business name

INDEPENDENCE INC. OF CENTRAL FLORIDA

Practice address

6494 Oakpoint Dr
Lakeland, FL 33813-5402

Phone

(863) 944-9262

Fax

(863) 688-4322

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

William Judy

Title

President

Phone

(863) 688-4343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1962686725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "HIGHLAND CITY",
            "state": "FL",
            "postal_code": "338460605",
            "telephone_number": "863-688-4343",
            "fax_number": "863-688-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6494 OAKPOINT DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338135402",
            "telephone_number": "863-944-9262",
            "fax_number": "863-688-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE INC. OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-688-4343"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "679999096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.