Patricia's Rock

NPI 1205178258 - Case Management - 251B00000X

NPI Details
NPI 1205178258
Enumeration Date 03/17/2013
Last Updated 03/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DE LISA DE LISA
Position D/P
Phone (407) 758-4910
Fax
Practice Location
750 S ORANGE BLOSSOM TRL
ORLANDO FL, 32805-3118, US
Phone (407) 758-4910
Fax
Business Location
4325 FOUNTAINVIEW LN
#5102
ORLANDO FL, 32808-1198, US
Phone (904) 566-1975
Fax
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Patricia's Rock NPI is 1205178258, taxonomy code is 251B00000X Patricia's Rock physically located at 750 S Orange Blossom Trl, Orlando FL, 32805-3118. NPI Number 1033115704 has the healthcare provider type.

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1205178258 NPI number is provided on an as is basis without warranty of any kind. 1205178258 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia's Rock are for informational purposes only.