| Purple Cactus, Llc | |
|
2515 Old Kent Circle Kissimmee FL 34758 | |
| (407) 625-0808 | |
| Not Available |
| Full Name | Purple Cactus, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2515 Old Kent Circle, Kissimmee, Florida |
| Authorized Official Name and Position | Heidi Chinlund (DIRECTOR) |
| Authorized Official Contact | 4076250808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Cactus, Llc Po Box 26 Intercession City FL 33848-0026 Ph: (407) 625-0808 | Purple Cactus, Llc 2515 Old Kent Circle Kissimmee FL 34758 Ph: (407) 625-0808 |
| NPI Number | 1073937785 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073937785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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