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Organization

ADVOCACY BEHAVIORAL HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JOHNSON ARNP (PRESIDENT)
(863) 421-9545
Entity
Organization

Contact information

Practice address
12 SOUTH BLVD E, DAVENPORT, FL 33837-0535
(863) 421-9545
Mailing address
PO BOX 841, DAVENPORT, FL 33836-0841
(863) 421-9545
(718) 425-9545

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1466102
FL

Other

Enumeration date
01/23/2008
Last updated
01/23/2008
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