Organization
PATRICIA'S ROCK
Active
Organization
PATRICIA'S ROCK
Active
Parent organization
PATRICIA'S ROCK
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATRICIA'S ROCK
Authorized official
DELISA BONAPARTE (OWNER)
(904) 566-1975
Entity
Organization
Contact information
Practice address
425 W COLONIAL DR, 201, ORLANDO, FL 32804-6863
(904) 566-1975
Mailing address
425 W COLONIAL DR, 201, ORLANDO, FL 32804-6863
(904) 566-1975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009272800
—
FL
Enumeration date
01/21/2016
Last updated
01/21/2016
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