Provider Demographics
NPI:1174975742
Name:HANDS ON CENTRAL FLORIDA
Entity type:Organization
Organization Name:HANDS ON CENTRAL FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TCM
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:CHANTEL
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:407-270-6685
Mailing Address - Street 1:750 S ORANGE BLOSSOM TRL STE 261
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-3197
Mailing Address - Country:US
Mailing Address - Phone:407-270-6685
Mailing Address - Fax:
Practice Address - Street 1:750 S ORANGE BLOSSOM TRL STE 261
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3197
Practice Address - Country:US
Practice Address - Phone:407-270-6685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management