Organization
COSMOPOLITAN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATTACHA PHARA WYLLIE (CEO)
(407) 321-3123
Entity
Organization
Contact information
Practice address
259 PETUNIA TER APT 113, SANFORD, FL 32771-6553
(407) 321-3123
Mailing address
259 PETUNIA TER APT 113, SANFORD, FL 32771-6553
(407) 321-3123
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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