| Florida Telehealth Llc | |
|
4060 Bruing St North Port FL 34286-2466 | |
| (941) 220-8256 | |
| Not Available |
| Full Name | Florida Telehealth Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4060 Bruing St, North Port, Florida |
| Authorized Official Name and Position | Kristin Jones (CEO) |
| Authorized Official Contact | 9412208256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Telehealth Llc 4060 Bruing St North Port FL 34286-2466 Ph: () - | Florida Telehealth Llc 4060 Bruing St North Port FL 34286-2466 Ph: (941) 220-8256 |
| NPI Number | 1750832853 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750832853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW10196 (Florida) | Primary |
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