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Contact Information

BRIDGES COMMUNITY SUPPORT SERVICES
5222 ANDRUS AVE
ORLANDO, FL32810-5400
 Phone: 407-745-5022
 Fax: 407-601-4302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for BRIDGES COMMUNITY SUPPORT SERVICES

NPI Number 1659877355
LBN Legal business name BRIDGES COMMUNITY SUPPORT SERVICES
Authorized official KIMBERLY FOWLER - (TARGETED MENTAL HEALTH CASE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2018
Last updated 04/02/2018 - About 8 years ago
Identifiers
FL Medicaid 464686250
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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