Provider Demographics
NPI:1811309594
Name:FLORIDA SOCIAL SOLUTIONS, INC.
Entity type:Organization
Organization Name:FLORIDA SOCIAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH TARGETED CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHONAY
Authorized Official - Middle Name:ATHENA
Authorized Official - Last Name:DANRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:407-779-4614
Mailing Address - Street 1:750 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:SUITE 173
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-3118
Mailing Address - Country:US
Mailing Address - Phone:407-276-0126
Mailing Address - Fax:888-481-6493
Practice Address - Street 1:750 S ORANGE BLOSSOM TRL
Practice Address - Street 2:SUITE 173
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3118
Practice Address - Country:US
Practice Address - Phone:407-276-0126
Practice Address - Fax:888-481-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD563781889170251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management