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Organization
KREDO HEALTH LLC
Active
Organization
KREDO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOAUD CORNELL (MANAGING MEMBER)
(407) 619-8156
Entity
Organization
Contact information
Practice address
1939 MAGUIRE RD STE 107-108, WINDERMERE, FL 34786-7942
(407) 473-8005
Mailing address
1939 MAGUIRE RD STE 107-108, WINDERMERE, FL 34786-7942
(407) 619-8156
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114416000
—
FL
Enumeration date
05/26/2022
Last updated
10/24/2022
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