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Organization

STRENGTH PROVIDER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEAN GAMA BMASSANGA BCBA (PRESIDENT)
(305) 494-4392
Entity
Organization

Contact information

Practice address
1140 LEE BLVD, LEHIGH ACRES, FL 33936-4800
(305) 494-4392
(888) 441-6806
Mailing address
1140 LEE BLVD STE 111, LEHIGH ACRES, FL 33936-4800
(305) 494-4392
(888) 441-6806

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-02-0914
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
685676496
FL
Enumeration date
11/14/2016
Last updated
05/27/2024
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