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Organization
THE DESTINY TCM CORPORATION
Active
Organization
THE DESTINY TCM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA D HOLMES (PRESIDENT AND CEO)
(407) 703-5959
Entity
Organization
Contact information
Practice address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
(407) 703-5959
Mailing address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003564600
—
FL
Enumeration date
06/18/2012
Last updated
06/18/2012
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