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220 Petunia Ter Apt 306 Sanford FL 32771-6533 | |
| (321) 444-2815 | |
| (321) 444-2815 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 Petunia Ter Apt 306, Sanford, Florida |
| Authorized Official Name and Position | Megan Linette Allen (CEO) |
| Authorized Official Contact | 3214442815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 470888 Lake Monroe FL 32747-0888 Ph: (132) 144-42815 | 220 Petunia Ter Apt 306 Sanford FL 32771-6533 Ph: (321) 444-2815 |
| NPI Number | 1992225924 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 06/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992225924 | NPI | - | NPPES |
| 1124564364 | Medicaid | FL |
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