Florida Mentor | |
5304 S Florida Ave Ste 206 Lakeland FL 33813-4918 | |
(863) 677-4026 | |
Not Available |
Full Name | Florida Mentor |
---|---|
Speciality | Community/behavioral Health |
Location | 5304 S Florida Ave Ste 206, Lakeland, Florida |
Authorized Official Name and Position | Brett Ian Cohen (COO) |
Authorized Official Contact | 8003885150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Florida Mentor 313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | Florida Mentor 5304 S Florida Ave Ste 206 Lakeland FL 33813-4918 Ph: (863) 677-4026 |
NPI Number | 1487039848 |
---|---|
Provider Enumeration Date | 07/28/2015 |
Last Update Date | 03/12/2023 |
Certification Date | 03/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487039848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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