| Conquest Health & Wellness, Llc. | |
|
2015 Shannon Lakes Ct Kissimmee FL 34743-3651 | |
| (407) 694-6304 | |
| Not Available |
| Full Name | Conquest Health & Wellness, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2015 Shannon Lakes Ct, Kissimmee, Florida |
| Authorized Official Name and Position | Javier Esteban Rosario (LCSW/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4076946304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conquest Health & Wellness, Llc. 1317 Edgewater Dr # 875 Orlando FL 32804-6350 Ph: () - | Conquest Health & Wellness, Llc. 2015 Shannon Lakes Ct Kissimmee FL 34743-3651 Ph: (407) 694-6304 |
| NPI Number | 1316565252 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 07/07/2020 |
| Certification Date | 07/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316565252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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