TARGETED CASE MANAGEMENT ENROLLMENT TIPS
Florida Medicaid Provider Enrollment. P.O. Box 7070. Tallahassee, Florida 32314-7070. Medicaid Provider Enrollment Telephone: 1-800-289-7799 Option 4 . LES Service Coordinator Attestation Checklist Copy of Social Security Card Copy of Diploma (except registered nurses, see #5) ................
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