Provider Demographics
NPI:1831642446
Name:UCP OF CENTRAL FLORIDA
Entity Type:Organization
Organization Name:UCP OF CENTRAL FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RISK MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-852-3347
Mailing Address - Street 1:1221 W COLONIAL DR
Mailing Address - Street 2:SUITE,300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7163
Mailing Address - Country:US
Mailing Address - Phone:407-852-3347
Mailing Address - Fax:407-420-1556
Practice Address - Street 1:448 W DONEGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-2335
Practice Address - Country:US
Practice Address - Phone:407-852-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-31
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14539251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services