| Alterare Advantage Llc | |
|
151 N. Maitland Avenue 948514 Maitland FL 32751-3275 | |
| (407) 780-0177 | |
| Not Available |
| Full Name | Alterare Advantage Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 151 N. Maitland Avenue, Maitland, Florida |
| Authorized Official Name and Position | Jazzmyn Alyssia-marie Iglesia (CEO) |
| Authorized Official Contact | 4077800177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alterare Advantage Llc 2911 Stone Glen Way Apt 107 Winter Park FL 32792-1784 Ph: (407) 780-0177 | Alterare Advantage Llc 151 N. Maitland Avenue 948514 Maitland FL 32751-3275 Ph: (407) 780-0177 |
| NPI Number | 1114414463 |
|---|---|
| Provider Enumeration Date | 04/21/2018 |
| Last Update Date | 05/08/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114414463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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