| Heart & Life Community Center Inc | |
|
801 N Magnolia Ave Ste 201 Orlando FL 32803-3842 | |
| (863) 256-9040 | |
| Not Available |
| Full Name | Heart & Life Community Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 801 N Magnolia Ave Ste 201, Orlando, Florida |
| Authorized Official Name and Position | Yovany M Baguet Vazquez (PRESIDENT) |
| Authorized Official Contact | 8632569040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Life Community Center Inc 801 N Magnolia Ave Ste 201 Orlando FL 32803-3842 Ph: (863) 256-9040 | Heart & Life Community Center Inc 801 N Magnolia Ave Ste 201 Orlando FL 32803-3842 Ph: (863) 256-9040 |
| NPI Number | 1679158604 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Medicare PECOS PAC ID | 9133517469 |
|---|---|
| Medicare Enrollment ID | O20211019002271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679158604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Veda R Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417052309 PECOS PAC ID: 8426023219 Enrollment ID: I20040831000518 |
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