INDIVIDUAL PROVIDER

Community/Behavioral Health

Active Organization
NPI: 1033587795

Practice Address

650 PALERMO VISTA CT
Longwood, FL 32750

Phone: (317) 697-8932

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes ISW10093 (FL)

Frequently Asked Questions

NPI 1033587795 is the National Provider Identifier for INDIVIDUAL PROVIDER, a Community/Behavioral Health provider located in Longwood, FL. This NPI was enumerated on September 10, 2015.

Quick Facts

NPI
1033587795
Type
Organization
Enumerated
Sep 10, 2015
Last Updated
Sep 10, 2015

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