Constellation Support Services Llc | |
7726 Winegard Rd Ste 53 Orlando FL 32809-7147 | |
(407) 900-5278 | |
Not Available |
Full Name | Constellation Support Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 7726 Winegard Rd Ste 53, Orlando, Florida |
Authorized Official Name and Position | Coralis Calderon (OWNER) |
Authorized Official Contact | 4079025919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Constellation Support Services Llc 7726 Winegard Rd Ste 53 Orlando FL 32809-7147 Ph: (407) 900-5278 | Constellation Support Services Llc 7726 Winegard Rd Ste 53 Orlando FL 32809-7147 Ph: (407) 900-5278 |
NPI Number | 1205549078 |
---|---|
Provider Enumeration Date | 12/26/2022 |
Last Update Date | 11/06/2023 |
Certification Date | 11/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205549078 | NPI | - | NPPES |
114731200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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