Provider Demographics
NPI:1962964809
Name:AJC SOFTWARE INC
Entity type:Organization
Organization Name:AJC SOFTWARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:COLLAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-353-4144
Mailing Address - Street 1:7512 DR. PHILLIPS BOULEVARD #50-244
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819
Mailing Address - Country:US
Mailing Address - Phone:787-317-4702
Mailing Address - Fax:407-395-2803
Practice Address - Street 1:1261 WINTER GARDEN VINELAND RD STE 120
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4362
Practice Address - Country:US
Practice Address - Phone:407-665-2522
Practice Address - Fax:407-664-2522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AJC SOFTWARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-01
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier