K M Enterprises | |
108 Lincoln Rd Nw Lake Placid FL 33852-9728 | |
(863) 243-1011 | |
Not Available |
Full Name | K M Enterprises |
---|---|
Speciality | Social Worker - Clinical |
Location | 108 Lincoln Rd Nw, Lake Placid, Florida |
Authorized Official Name and Position | Michael W Reynolds (PRESIDENT) |
Authorized Official Contact | 8632431011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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K M Enterprises 108 Lincoln Rd Nw Lake Placid FL 33852-9728 Ph: (863) 243-1011 | K M Enterprises 108 Lincoln Rd Nw Lake Placid FL 33852-9728 Ph: (863) 243-1011 |
NPI Number | 1609184498 |
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Provider Enumeration Date | 09/15/2010 |
Last Update Date | 09/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609184498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW7514 (Florida) | Primary |
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Florida Hospital Heartland Psychiatric Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Us 27 N, Lake Placid, FL 33852 Phone: 863-465-3777 Fax: 863-699-4339 |