| Pheonix Healthcare Consultants, Llc | |
|
256 Wallrock Ct Ocoee FL 34761-4457 | |
| (407) 770-7026 | |
| (407) 703-2721 |
| Full Name | Pheonix Healthcare Consultants, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 256 Wallrock Ct, Ocoee, Florida |
| Authorized Official Name and Position | Derrick Omar Stephens (PRESIDENT AND CEO) |
| Authorized Official Contact | 4077707026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pheonix Healthcare Consultants, Llc 256 Wallrock Ct Ocoee FL 34761-4457 Ph: (407) 770-7026 | Pheonix Healthcare Consultants, Llc 256 Wallrock Ct Ocoee FL 34761-4457 Ph: (407) 770-7026 |
| NPI Number | 1336518166 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 11/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336518166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11477 (Florida) | Primary |
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