Provider Demographics
NPI:1801973318
Name:THE CENTER FOR INDEPENDENCE INC
Entity type:Organization
Organization Name:THE CENTER FOR INDEPENDENCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-861-5600
Mailing Address - Street 1:13910 FIVAY RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667
Mailing Address - Country:US
Mailing Address - Phone:727-861-5600
Mailing Address - Fax:727-861-5605
Practice Address - Street 1:13910 FIVAY RD
Practice Address - Street 2:SUITE 8
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667
Practice Address - Country:US
Practice Address - Phone:727-861-5600
Practice Address - Fax:727-861-5605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0240214-96Medicaid
FL024021496Medicaid
FL024021498Medicaid