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2180 N Park Ave Ste 220 Winter Park FL 32789-2358 | |
| (407) 644-4911 | |
| (407) 644-4911 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2180 N Park Ave Ste 220, Winter Park, Florida |
| Authorized Official Name and Position | Barbara Magnusson Coffee (MANAGER/OWNER) |
| Authorized Official Contact | 4076444911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
350 Fitzhugh Rd Winter Park FL 32792-3537 Ph: (407) 644-4911 | 2180 N Park Ave Ste 220 Winter Park FL 32789-2358 Ph: (407) 644-4911 |
| NPI Number | 1811352131 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811352131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1916 (Florida) | Primary |
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