Phoenix Rising Now Corporation | |
1540 International Pkwy Suite 2000 Lake Mary FL 32746-4713 | |
(407) 267-0415 | |
Not Available |
Full Name | Phoenix Rising Now Corporation |
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Speciality | Community/behavioral Health |
Location | 1540 International Pkwy, Lake Mary, Florida |
Authorized Official Name and Position | Rhonda Baker (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4072670415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phoenix Rising Now Corporation 2625 Tweed Run Sanford FL 32771-6499 Ph: (407) 267-0415 | Phoenix Rising Now Corporation 1540 International Pkwy Suite 2000 Lake Mary FL 32746-4713 Ph: (407) 267-0415 |
NPI Number | 1336410349 |
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Provider Enumeration Date | 01/23/2012 |
Last Update Date | 01/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336410349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MT2629 (Florida) | Primary |
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