Inner Harbor Center For Wellness Llc | |
9160 Oakhurst Rd Suite 4b Seminole FL 33776 | |
(727) 504-3041 | |
(727) 498-5522 |
Full Name | Inner Harbor Center For Wellness Llc |
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Speciality | Social Worker - Clinical |
Location | 9160 Oakhurst Rd, Seminole, Florida |
Authorized Official Name and Position | Theresa Louise Dvorak-farling (THERAPIST & FOUNDER) |
Authorized Official Contact | 7275043041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inner Harbor Center For Wellness Llc 9160 Oakhurst Rd Suite 4b Seminole FL 33776 Ph: (727) 504-3041 | Inner Harbor Center For Wellness Llc 9160 Oakhurst Rd Suite 4b Seminole FL 33776 Ph: (727) 504-3041 |
NPI Number | 1285070920 |
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Provider Enumeration Date | 05/21/2013 |
Last Update Date | 05/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285070920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW11218 (Florida) | Primary |
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