NPI 1033624234

Fresh Start Solution

Organisation Case Management Agency Orlando, FL

Practice location

Address: 7754 Clementine Way, Orlando, FL 32819-4612
Phone: (863) 241-8634

Authorised official

Name: Tyshawn Clerk
Title: Ceo
Phone: (863) 241-8634

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1033624234
Entity type: Organization
NPI issued: 10 Dec 2017
Record last updated: 10 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.