Organization
2NDMOUNTAIN1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORVINS EUGENE (MANAGER)
(407) 576-6184
Entity
Organization
Contact information
Practice address
821 PALMERA ST, ORLANDO, FL 32811-8328
(407) 576-6184
Mailing address
821 PALMERA ST, ORLANDO, FL 32811-8328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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