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Florida Telehealth LLC

Social Worker, Clinical in North Port, FL. Organization (NPI-2).

NPI number1750832853
StatusActive
Last updated in NPPESOct 24, 2016

Details

NPI
1750832853
Entity type
Organization (NPI-2)
Legal business name
Florida Telehealth LLC
Organization subpart
No
Enumeration date
Oct 24, 2016
Last updated
Oct 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW10196FLYes

Practice location

4060 Bruing St
North Port, FL 34286-2466

Phone 941-220-8256

Mailing address

4060 Bruing St
North Port, FL 34286-2466

Authorized official

Kristin Jones
Ceo
9412208256

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