Organization
KC QUALITY CARE
Active
Organization
KC QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTIA CHERENFANT (NURSE PRACTITIONER)
(321) 246-5358
Entity
Organization
Contact information
Practice address
815 24TH ST, ORLANDO, FL 32805-5406
(407) 704-8857
Mailing address
5979 VINELAND RD STE 111, ORLANDO, FL 32819-7855
(321) 246-5358
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/30/2020
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