Provider Demographics
NPI:1013352723
Name:HEALTH AND FAMILY SERVICES OF FLORIDA
Entity Type:Organization
Organization Name:HEALTH AND FAMILY SERVICES OF FLORIDA
Other - Org Name:COMMUNITY UNITED OUTREACH, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-966-3400
Mailing Address - Street 1:115 MAITLAND AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4901
Mailing Address - Country:US
Mailing Address - Phone:407-966-3400
Mailing Address - Fax:407-966-3401
Practice Address - Street 1:115 MAITLAND AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4901
Practice Address - Country:US
Practice Address - Phone:407-966-3400
Practice Address - Fax:407-966-3401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY UNITED OUTREACH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-08
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management