Provider Demographics
NPI:1871879338
Name:THE ARBOR SCHOOL OF CENTRAL FLORIDA
Entity type:Organization
Organization Name:THE ARBOR SCHOOL OF CENTRAL FLORIDA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-388-1808
Mailing Address - Street 1:3929 RED BUG LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707
Mailing Address - Country:US
Mailing Address - Phone:407-388-1808
Mailing Address - Fax:407-636-6915
Practice Address - Street 1:3925 RED BUG LAKE ROAD
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707
Practice Address - Country:US
Practice Address - Phone:407-388-1808
Practice Address - Fax:407-636-6915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARBOR SCHOOL OF CENTRAL FLORIDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-28
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty