Provider Demographics
NPI:1225622301
Name:WINDERMERE BABY AND FAMILY
Entity Type:Organization
Organization Name:WINDERMERE BABY AND FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-760-1662
Mailing Address - Street 1:7057 NOBLETON DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6638
Mailing Address - Country:US
Mailing Address - Phone:407-760-1662
Mailing Address - Fax:727-279-2103
Practice Address - Street 1:7057 NOBLETON DR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6638
Practice Address - Country:US
Practice Address - Phone:407-760-1662
Practice Address - Fax:727-279-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management