| Fiveshine Corporation | |
|
3680 Avalon Park East Blvd Ste 301 Orlando FL 32828-9372 | |
| (407) 928-1425 | |
| Not Available |
| Full Name | Fiveshine Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3680 Avalon Park East Blvd Ste 301, Orlando, Florida |
| Authorized Official Name and Position | Jamie E Olofson (PRESIDENT) |
| Authorized Official Contact | 4079281425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiveshine Corporation 11506 Brightstowe Way Orlando FL 32836-8844 Ph: (407) 758-9959 | Fiveshine Corporation 3680 Avalon Park East Blvd Ste 301 Orlando FL 32828-9372 Ph: (407) 928-1425 |
| NPI Number | 1356184121 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356184121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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