Organization
AVEC MOI MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIELA NILDA COLUMBIE (ADMINISTRATOR)
(407) 913-9945
Entity
Organization
Contact information
Practice address
2202 CURRY FORD RD STE E, ORLANDO, FL 32806-2478
(407) 913-9945
Mailing address
8501 GRINSTEAD CT, ORLANDO, FL 32825-8433
(407) 913-9945
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000-1225052
LICENSE
FL
Enumeration date
04/27/2021
Last updated
04/28/2021
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