| Organization Name: | AFTER CARE CENTER OF FLORIDA AT HOLIDAY LLC |
| NPI Number: | 1235545344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA BORGIA (ADMINISTRATOR) |
| Mailing Address: | 1812 Us Highway 19 Holiday |
| State: | FL US |
| Postal Code: | 346915535 |
| Phone Number: | 7279430300 |
| Fax Number: | 7279430339 |
| NPI Enumeration Date: | 07/09/2014 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9101542 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |