| Angela C. Brinson | |
|
5245 W Irlo Bronson Memorial Hwy Unit 1 Kissimmee FL 34746-5347 | |
| (305) 684-1390 | |
| (877) 478-5333 |
| Full Name | Angela C. Brinson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5245 W Irlo Bronson Memorial Hwy Unit 1, Kissimmee, Florida |
| Authorized Official Name and Position | Angela C Brinson (OWNER) |
| Authorized Official Contact | 9542577473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela C. Brinson 18425 Nw 2nd Ave 5th Floor Ph 13 Miami Gardens FL 33169-4524 Ph: (305) 684-1390 | Angela C. Brinson 5245 W Irlo Bronson Memorial Hwy Unit 1 Kissimmee FL 34746-5347 Ph: (305) 684-1390 |
| NPI Number | 1386213684 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386213684 | NPI | - | NPPES |
| 101720000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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