| Sundance Ranch Christian Church | |
|
390 S Courtenay Pkwy Merritt Island FL 32952-4847 | |
| (321) 305-5946 | |
| Not Available |
| Full Name | Sundance Ranch Christian Church |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 390 S Courtenay Pkwy, Merritt Island, Florida |
| Authorized Official Name and Position | Terry Lynn Wharton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3213055946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Ranch Christian Church 1900 Pine Island Rd Merritt Island FL 32953-6517 Ph: (215) 559-1184 | Sundance Ranch Christian Church 390 S Courtenay Pkwy Merritt Island FL 32952-4847 Ph: (321) 305-5946 |
| NPI Number | 1487043410 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487043410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | 204811419 (Florida) | Primary |
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