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Organization
PHEONIX HEALTHCARE CONSULTANTS, LLC
Active
Organization
PHEONIX HEALTHCARE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK OMAR STEPHENS LCSW (PRESIDENT AND CEO)
(407) 770-7026
Entity
Organization
Contact information
Practice address
256 WALLROCK CT, OCOEE, FL 34761-4457
(407) 770-7026
(407) 703-2721
Mailing address
256 WALLROCK CT, OCOEE, FL 34761-4457
(407) 770-7026
(407) 703-2721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11477
FL
Other
Enumeration date
09/22/2015
Last updated
11/16/2015
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