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Organization
BRIDGE OF HOPE CENTRAL FLORIDA
Active
Organization
BRIDGE OF HOPE CENTRAL FLORIDA
Active
Other names
Bridge of Hope Central Florida
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR L RODRIGUEZ AS (OPERATION MANAGER)
(407) 575-4636
Entity
Organization
Contact information
Practice address
1331 KEVSTIN DR, KISSIMMEE, FL 34744-5844
(407) 575-4536
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(321) 250-7425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 21145
FL
225X00000X
Occupational Therapist
OT 1181
FL
235Z00000X
Speech-Language Pathologist
Primary
SA10475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000867500
—
FL
05
—
000867501
—
FL
05
—
000867502
—
FL
Enumeration date
06/13/2013
Last updated
06/13/2013
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