Life Dance Inc | |
6417 Nw 37th Dr Gainesville FL 32653-0868 | |
(352) 335-1240 | |
Not Available |
Full Name | Life Dance Inc |
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Speciality | Psychologist - Clinical |
Location | 6417 Nw 37th Dr, Gainesville, Florida |
Authorized Official Name and Position | Mark A Manuel (PRESIDENT) |
Authorized Official Contact | 3523351240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Dance Inc 6417 Nw 37th Dr Gainesville FL 32653-0868 Ph: (352) 335-1240 | Life Dance Inc 6417 Nw 37th Dr Gainesville FL 32653-0868 Ph: (352) 335-1240 |
NPI Number | 1104905348 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/05/2014 |
Identifier | Type | State | Issuer |
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1104905348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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