| Florida Autism Center | |
|
247 Sw Port St Lucie Blvd Port St Lucie FL 34984-5015 | |
| (866) 610-0580 | |
| (407) 588-6294 |
| Full Name | Florida Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 247 Sw Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Jason Owen (CEO) |
| Authorized Official Contact | 4708166449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Autism Center 300 International Pkwy Ste 200 Lake Mary FL 32746-5028 Ph: (470) 816-6449 | Florida Autism Center 247 Sw Port St Lucie Blvd Port St Lucie FL 34984-5015 Ph: (866) 610-0580 |
| NPI Number | 1174042956 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174042956 | NPI | - | NPPES |
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