| Energetic Expressions | |
|
407 Lake Howell Rd Suite #110 Maitland FL 32751-5908 | |
| (407) 257-7239 | |
| Not Available |
| Full Name | Energetic Expressions |
|---|---|
| Speciality | Clinic/center |
| Location | 407 Lake Howell Rd, Maitland, Florida |
| Authorized Official Name and Position | Alyson Lee Diehl (MANAGING MEMBER) |
| Authorized Official Contact | 4072577239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Energetic Expressions 407 Lake Howell Rd Suite #110 Maitland FL 32751-5908 Ph: (407) 257-7239 | Energetic Expressions 407 Lake Howell Rd Suite #110 Maitland FL 32751-5908 Ph: (407) 257-7239 |
| NPI Number | 1891944211 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891944211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MM21115 (Florida) | Primary |
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