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Organization
BRIDGE OF HOPE PLUS
Active
Organization
BRIDGE OF HOPE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR L RODRIGUEZ II AB (DIRECTOR)
(407) 575-4636
Entity
Organization
Contact information
Practice address
818 N MAIN ST, KISSIMMEE, FL 34744-4564
(407) 575-4636
(407) 343-5599
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(407) 343-5599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 6408
FL
225X00000X
Occupational Therapist
OT14170
FL
235Z00000X
Speech-Language Pathologist
Primary
SA10556
FL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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