Organization

Constellation Support Services Llc

Community/Behavioral Health Agency in Orlando, FL(View on Map)

Legal Business Name

Constellation Support Services Llc

NPI Number

1205549078

NPI Type

Organization

Enumeration Date

12/26/2022

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

7726 WINEGARD RD STE 53
7726 WINEGARD RD STE 53

City

Orlando
Orlando

State

FL
FL

Postal Code

32809-7147
32809-7147

Country

US
US

Telephone Number

(407) 900-5278
(407) 900-5278

Authorized Official

Name

Coralis Calderon

Title or Position

OWNER

Telephone Number

(407) 902-5919

Identifiers

Identifier

114731200

Identifier State

FL

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

SOAP

Endpoint

Office

Endpoint Description

Electronic Files

Use

Health Information Exchange (HIE)

Content Type

CSV

Affiliation

N

Endpoint Location

7726 Winegard Rd Ste 53Orlando, FL328097147US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/06/2023

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