Provider Demographics
NPI:1265409411
Name:DISABILITY CARE OF FL DBA ANEW STEP LLC
Entity type:Organization
Organization Name:DISABILITY CARE OF FL DBA ANEW STEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:ROBERTA
Authorized Official - Last Name:MOORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-714-3734
Mailing Address - Street 1:20415 LAKE PATIENCE RD
Mailing Address - Street 2:P.O. BOX 647
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-3577
Mailing Address - Country:US
Mailing Address - Phone:813-714-3734
Mailing Address - Fax:813-996-2419
Practice Address - Street 1:20415 LAKE PATIENCE RD
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-3577
Practice Address - Country:US
Practice Address - Phone:813-714-3734
Practice Address - Fax:813-996-2419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management