Center For Independent Living In Central Florida | |
720 N. Denning Dr. Winter Park FL 32789 | |
(407) 623-1070 | |
(407) 623-1390 |
Full Name | Center For Independent Living In Central Florida |
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Speciality | Community/behavioral Health |
Location | 720 N. Denning Dr., Winter Park, Florida |
Authorized Official Name and Position | Tina P Jack (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 4076231070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Independent Living In Central Florida 720 N. Denning Dr. Winter Park FL 32789 Ph: (407) 623-1070 | Center For Independent Living In Central Florida 720 N. Denning Dr. Winter Park FL 32789 Ph: (407) 623-1070 |
NPI Number | 1093041154 |
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Provider Enumeration Date | 10/26/2009 |
Last Update Date | 10/26/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093041154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH8933 (Florida) | Primary |
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