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For The Community Florida PLLC

Community/Behavioral Health in Melbourne, FL. Organization (NPI-2).

NPI number1477844751
StatusActive
Last updated in NPPESApr 21, 2011

Details

NPI
1477844751
Entity type
Organization (NPI-2)
Legal business name
For The Community Florida PLLC
Organization subpart
No
Enumeration date
Apr 21, 2011
Last updated
Apr 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

627 Williams St
Melbourne, FL 32901-6053

Phone 623-628-4079

Mailing address

8721 W Wilshire Dr
Phoenix, AZ 85037-3605

Phone 623-628-4079

Authorized official

Renetta Tanica Slone
Owner
6236284079

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