# BRIDGE OF HOPE CENTRAL FLORIDA CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114373057
- **Authorized official:** MR. HECTOR L RODRIGUEZ AB (PRESIDENT)
- **Authorized official phone:** (407) 575-4636

## Contact information

- **Practice address:** 873 CYPRESS PKWY, KISSIMMEE, FL 34759-3408
- **Practice address phone:** (407) 575-4636
- **Practice address fax:** (407) 343-5599
- **Mailing address:** PO BOX 452878, KISSIMMEE, FL 34745-2878
- **Mailing address phone:** (407) 575-4636
- **Mailing address fax:** (407) 343-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT6408 | FL | — |
| 225X00000X | Occupational Therapist | OT15384 | FL | — |
| 235Z00000X | Speech-Language Pathologist | SA10618 | FL | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016