| Forward Freedom, Llc | |
|
531 Versailles Dr Ste 100 Maitland FL 32751-4591 | |
| (747) 263-2789 | |
| Not Available |
| Full Name | Forward Freedom, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 531 Versailles Dr Ste 100, Maitland, Florida |
| Authorized Official Name and Position | Nathaniel Webster (MANAGER) |
| Authorized Official Contact | 7472632789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Freedom, Llc 531 Versailles Dr Ste 100 Maitland FL 32751-4591 Ph: (747) 263-2789 | Forward Freedom, Llc 531 Versailles Dr Ste 100 Maitland FL 32751-4591 Ph: (747) 263-2789 |
| NPI Number | 1205457132 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 05/01/2020 |
| Certification Date | 05/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205457132 | NPI | - | NPPES |
| 1356833925 | Other | FL | NPI, TYPE 1 |
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