House Of Freedom | |
2311 N Orange Blossom Trl Kissimmee FL 34744-2313 | |
(407) 738-3030 | |
Not Available |
Full Name | House Of Freedom |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2311 N Orange Blossom Trl, Kissimmee, Florida |
Authorized Official Name and Position | Jose Ysrael Mendez (PRESIDENT) |
Authorized Official Contact | 4077383030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
House Of Freedom 2311 N Orange Blossom Trl Kissimmee FL 34744-2313 Ph: (407) 738-3030 | House Of Freedom 2311 N Orange Blossom Trl Kissimmee FL 34744-2313 Ph: (407) 738-3030 |
NPI Number | 1245582543 |
---|---|
Provider Enumeration Date | 10/10/2012 |
Last Update Date | 05/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245582543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME107982 (Florida) | Primary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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