Organization
HOPE CENTERS OF CENTRAL FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY WADE (ADMINISTRATOR)
(407) 445-9545
Entity
Organization
Contact information
Practice address
101 E MILLER ST, ORLANDO, FL 32806-2123
(407) 246-6620
(407) 299-9141
Mailing address
1507 S HIAWASSEE RD, SUITE 107, ORLANDO, FL 32835-5718
(407) 445-9545
(407) 299-9141
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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