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2263 Villa Verano Way Apt 102 Kissimmee FL 34744-5982 | |
| (407) 744-5447 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2263 Villa Verano Way Apt 102, Kissimmee, Florida |
| Authorized Official Name and Position | Ingris Maldonado (OWNER) |
| Authorized Official Contact | 4077445447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1257 Spokane Pt Kissimmee FL 34741-6437 Ph: (407) 744-5447 | 2263 Villa Verano Way Apt 102 Kissimmee FL 34744-5982 Ph: (407) 744-5447 |
| NPI Number | 1821718529 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821718529 | NPI | - | NPPES |
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