Bridge Of Hope Of Central Florida Corp

LBN: Bridge Of Hope Of Central Florida Corp
Bridge Of Hope Of Central Florida Corp is an health care organization with primary practice located at 1300 Kevstin Dr , Kissimmee FL 34744-5843. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Hearing and Speech is the primary health care specialty. Bridge Of Hope Of Central Florida Corp can be contacted via phone (407) 575-4636, or through Roman, Vanessa via phone (407) 575-4636.

Contact Information

Primary practice address
1300 Kevstin Dr Kissimmee FL 34744-5843
Fax: (321) 250-7425
Website:
Authorized official contact:
Name: Roman, Vanessa Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X SA 8292 Florida
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT 24417 Florida
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X OT 11560 Florida

Profile Details

NPI number 1104126572
LBN Legal business name Bridge Of Hope Of Central Florida Corp
DBA Doing business as
Authorized official Roman, Vanessa Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2010
Last updated Aug 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104126572 NPPES
Florida MEDICAID 000867500
Florida MEDICAID 000867503
Florida MEDICAID 000867501
Florida MEDICAID 000867502

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