Organization · NPI-2

4cs Health LLC

Nurse Practitioner · Orlando, FL

NPI number1851976997
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1851976997
Entity type
Organization (NPI-2)
Legal business name
4cs Health LLC
Organization subpart
No
Enumeration date
Mar 10, 2021
Certification date
May 21, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

1317 Edgewater Dr Ste 399
Orlando, FL 32804-6350

Phone 813-357-4546 · Fax 813-946-9596

Mailing address

1317 Edgewater Dr Ste 399
Orlando, FL 32804-6350

Fax 813-946-9596

Authorized official

Shanisha Calloway Kirk
Ceo
8133574546

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