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Organization
BRIDGE OF HOPE OF CENTRAL FLORIDA CORP
Active
Organization
BRIDGE OF HOPE OF CENTRAL FLORIDA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ROMAN BA (C.E.O.)
(407) 575-4636
Entity
Organization
Contact information
Practice address
1300 KEVSTIN DR, KISSIMMEE, FL 34744-5843
(407) 575-4636
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(407) 343-5599
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA 8292
FL
261QP2000X
Physical Therapy Clinic/Center
PT 24417
FL
261QX0100X
Occupational Medicine Clinic/Center
OT 11560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000867500
—
FL
05
—
000867501
—
FL
05
—
000867502
—
FL
05
—
000867503
—
FL
Enumeration date
11/01/2010
Last updated
08/19/2015
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