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Organization
WHOLE-SUM THERAPIES, INC.
Active
Organization
WHOLE-SUM THERAPIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY SMITH (OWNER)
(407) 730-6988
Entity
Organization
Contact information
Practice address
933 LEE RD, SUITE 101, ORLANDO, FL 32810-5551
(407) 730-6988
(407) 730-6995
Mailing address
933 LEE RD STE 101, SUITE 101, ORLANDO, FL 32810-5537
(407) 730-6988
(407) 730-6995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
688601996
MEDICAID WAIVER
FL
05
—
888283500
—
FL
Enumeration date
11/17/2006
Last updated
10/29/2014
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