Pheonix Healthcare Consultants, Llc | |
256 Wallrock Ct Ocoee FL 34761-4457 | |
(407) 770-7026 | |
(407) 703-2721 |
Full Name | Pheonix Healthcare Consultants, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 256 Wallrock Ct, Ocoee, Florida |
Authorized Official Name and Position | Derrick Omar Stephens (PRESIDENT AND CEO) |
Authorized Official Contact | 4077707026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pheonix Healthcare Consultants, Llc 256 Wallrock Ct Ocoee FL 34761-4457 Ph: (407) 770-7026 | Pheonix Healthcare Consultants, Llc 256 Wallrock Ct Ocoee FL 34761-4457 Ph: (407) 770-7026 |
NPI Number | 1336518166 |
---|---|
Provider Enumeration Date | 09/22/2015 |
Last Update Date | 11/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336518166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11477 (Florida) | Primary |
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