| Organization Name: | CHILDREN'S CARE CAMPUS, INC. |
| NPI Number: | 1396130670 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA N. HARRIS (CLINIC DIRECTOR) |
| Mailing Address: | 2120 Saxon Blvd Ste 201 Deltona |
| State: | FL US |
| Postal Code: | 327253279 |
| Phone Number: | 4075133000 |
| Fax Number: | 4075156537 |
| NPI Enumeration Date: | 04/02/2015 |
| NPI Last Update Date: | 04/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |