Provider Demographics
NPI:1689092157
Name:CLINICAL CONNECTIONS LLC
Entity Type:Organization
Organization Name:CLINICAL CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHANY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:407-536-3680
Mailing Address - Street 1:250 WILSHIRE BLVD STE 136
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5380
Mailing Address - Country:US
Mailing Address - Phone:407-951-8539
Mailing Address - Fax:407-960-3850
Practice Address - Street 1:250 WILSHIRE BLVD STE 136
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5380
Practice Address - Country:US
Practice Address - Phone:407-951-8539
Practice Address - Fax:407-960-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management