| Integrated Neurosciences Of Orlando | |
|
7450 Dr Phillips Blvd Ste 314 Orlando FL 32819-5119 | |
| (407) 757-2523 | |
| (407) 757-2530 |
| Full Name | Integrated Neurosciences Of Orlando |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 7450 Dr Phillips Blvd, Orlando, Florida |
| Authorized Official Name and Position | Keda Henderson (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7727136290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Neurosciences Of Orlando 7450 Dr Phillips Blvd Ste 314 Orlando FL 32819-5119 Ph: (407) 757-2523 | Integrated Neurosciences Of Orlando 7450 Dr Phillips Blvd Ste 314 Orlando FL 32819-5119 Ph: (407) 757-2523 |
| NPI Number | 1215312947 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 07/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215312947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | ME106951 (Florida) | Primary |
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