| Community Victory Family Services, Inc. | |
|
32750 Pennsylvania Ave San Antonio FL 33576-7096 | |
| (813) 440-2741 | |
| (813) 388-4490 |
| Full Name | Community Victory Family Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 32750 Pennsylvania Ave, San Antonio, Florida |
| Authorized Official Name and Position | Miranda Faulkner-smith (OFFICER) |
| Authorized Official Contact | 8134402741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Victory Family Services, Inc. 12231 Main St Unit 1196 San Antonio FL 33576-7253 Ph: (813) 440-2741 | Community Victory Family Services, Inc. 32750 Pennsylvania Ave San Antonio FL 33576-7096 Ph: (813) 440-2741 |
| NPI Number | 1598275869 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598275869 | NPI | - | NPPES |
| 1366851875 | Other | NPI | |
| 014618400 | Medicaid | FL |
News Archive
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› Verified 4 days ago