Individual
ROSE SOUVERAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 TRANQUILLE OAKS DR, OCOEE, FL 34761-1402
(321) 460-4138
(321) 558-3055
Mailing address
404 TRANQUILLE OAKS DR, OCOEE, FL 34761-1402
(321) 460-4138
(321) 558-3055
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6906125
FL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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