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1133 Louisiana Ave Ste 106 Winter Park FL 32789-2350 | |
| (407) 308-2747 | |
| (321) 413-5886 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1133 Louisiana Ave Ste 106, Winter Park, Florida |
| Authorized Official Name and Position | Alexis Pardo (PRESIDENT) |
| Authorized Official Contact | 4073082747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1133 Louisiana Ave Ste 106 Winter Park FL 32789-2350 Ph: (407) 308-2747 | 1133 Louisiana Ave Ste 106 Winter Park FL 32789-2350 Ph: (407) 308-2747 |
| NPI Number | 1831858497 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831858497 | NPI | - | NPPES |
| SW16166 | Other | FL | LICENSE NUMBER |
| 1588163679 | Other | FL | NPI |
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