Delvaway Therapy Services Llc | |
830 N John Young Pkwy Kissimmee FL 34741-4912 | |
(305) 417-8503 | |
Not Available |
Full Name | Delvaway Therapy Services Llc |
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Speciality | Social Worker |
Location | 830 N John Young Pkwy, Kissimmee, Florida |
Authorized Official Name and Position | Ruth Delva (OWNER) |
Authorized Official Contact | 3054178503 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Delvaway Therapy Services Llc 830 N John Young Pkwy Kissimmee FL 34741-4912 Ph: () - | Delvaway Therapy Services Llc 830 N John Young Pkwy Kissimmee FL 34741-4912 Ph: (305) 417-8503 |
NPI Number | 1750073706 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 06/02/2023 |
Certification Date | 06/02/2023 |
Medicare PECOS PAC ID | 0547620635 |
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Medicare Enrollment ID | O20230720003919 |
Identifier | Type | State | Issuer |
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1750073706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Ruth Delva |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699263343 PECOS PAC ID: 2668891961 Enrollment ID: I20201007000047 |
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