Purple Cactus, Llc | |
2515 Old Kent Circle Kissimmee FL 34758 | |
(407) 625-0808 | |
Not Available |
Full Name | Purple Cactus, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 2515 Old Kent Circle, Kissimmee, Florida |
Authorized Official Name and Position | Heidi L. Chinlund (OWNER/DIRECTOR) |
Authorized Official Contact | 4076250808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Purple Cactus, Llc Po Box 26 Intercession City FL 33848-0026 Ph: (407) 625-0808 | Purple Cactus, Llc 2515 Old Kent Circle Kissimmee FL 34758 Ph: (407) 625-0808 |
NPI Number | 1194154054 |
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Provider Enumeration Date | 11/01/2013 |
Last Update Date | 02/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194154054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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