| Patricia's Rock | |
|
425 W Colonial Dr 201 Orlando FL 32804-6863 | |
| (904) 566-1975 | |
| Not Available |
| Full Name | Patricia's Rock |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 W Colonial Dr, Orlando, Florida |
| Authorized Official Name and Position | Delisa Bonaparte (OWNER) |
| Authorized Official Contact | 9045661975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia's Rock 425 W Colonial Dr 201 Orlando FL 32804-6863 Ph: (904) 566-1975 | Patricia's Rock 425 W Colonial Dr 201 Orlando FL 32804-6863 Ph: (904) 566-1975 |
| NPI Number | 1144687161 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144687161 | NPI | - | NPPES |
| 009272800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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