Provider Demographics
NPI:1487082954
Name:CENTRAL FLORIDA CASE MANAGEMENT SERVICES,INC.
Entity type:Organization
Organization Name:CENTRAL FLORIDA CASE MANAGEMENT SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-739-6883
Mailing Address - Street 1:5104 N ORANGE BLOSSOM TRL
Mailing Address - Street 2:216
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-1042
Mailing Address - Country:US
Mailing Address - Phone:407-739-6883
Mailing Address - Fax:
Practice Address - Street 1:5104 N ORANGE BLOSSOM TRL
Practice Address - Street 2:216
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-1042
Practice Address - Country:US
Practice Address - Phone:407-739-6883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008371000Medicaid