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Organization
NOVUSVITA
Active
Organization
NOVUSVITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON H KUCH PHD (THERAPIST)
(321) 872-8627
Entity
Organization
Contact information
Practice address
612 E COLONIAL DR, SUITE 390, ORLANDO, FL 32803-4650
(321) 872-8627
Mailing address
612 E COLONIAL DR, SUITE 390, ORLANDO, FL 32803-4650
(321) 872-8627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH6666
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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