Isa Tanenbaum Inc

NPI 1174924682 - Counselor - 101YM0800X

NPI Details
NPI 1174924682
Enumeration Date 09/16/2014
Last Updated 09/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ISABEL ISABEL
Position OWNER
Phone (904) 292-2407
Fax
Practice Location
2950 HALCYON LN
SUITE 701
JACKSONVILLE FL, 32223-6689, US
Phone (904) 292-2407
Fax
Business Location
2652 SIMS COVE LN
JACKSONVILLE FL, 32223-7118, US
Phone (904) 292-2407
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH5265
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According to our database, Isa Tanenbaum Inc NPI is 1174924682, taxonomy code is 101YM0800X and license number is MH5265, license state is located at Florida. Isa Tanenbaum Inc physically located at 2950 Halcyon Ln, Jacksonville FL, 32223-6689. NPI Number 1033115704 has the healthcare provider type.

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1174924682 NPI number is provided on an as is basis without warranty of any kind. 1174924682 is maintained by the National Plan & Provider Enumeration System. The contents of Isa Tanenbaum Inc are for informational purposes only.