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Organization
KALEIDOSCOPE INTERVENTIONS OF ORLANDO
Active
Organization
KALEIDOSCOPE INTERVENTIONS OF ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HOLZ (OWNER)
(321) 265-4429
Entity
Organization
Contact information
Practice address
125 E NASA BLVD, MELBOURNE, FL 32901-1900
(321) 265-4429
(321) 765-6434
Mailing address
125 E NASA BLVD, MELBOURNE, FL 32901-1900
(321) 265-4429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
MEDICAID
—
Enumeration date
05/05/2017
Last updated
05/05/2017
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