BRIDGEBUILDER COMMUNITY SERVICES NPI 1134395411

NPI Information

NPI: 1134395411
Provider Name: BRIDGEBUILDER COMMUNITY SERVICES
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
4423 BEAGLE ST
ORLANDO, FL
ZIP 32818
Phone: (407) 616-4318
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BRIDGEBUILDER COMMUNITY SERVICES is a voluntary or charitable in Orlando, FL. BRIDGEBUILDER COMMUNITY SERVICES NPI is 1134395411. The provider is registered as an organization entity type.

The provider's business location address is:

4423 BEAGLE ST
ORLANDO, FL
ZIP 32818-254
Phone: (407) 616-4318

The provider's authorized official is Dwayne Horne .
The authorized official title is Founder/ceo and has the following contact phone number (407) 616-4318.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	802003528	OTHER	FLORIDA	CFAR'S CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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