Individual
JORGE Y MELENDEZ NORIEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
390 CROWN OAK CENTRE DR, LONGWOOD, FL 32750-6149
(787) 590-7285
Mailing address
5150 BOGGY CREEK RD LOT Q10, SAINT CLOUD, FL 34771-9246
(787) 590-7285
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT4092
FL
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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