Organization
PATRICIA'S ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE LISA BONAPARTE (D/P)
(904) 566-1975
Entity
Organization
Contact information
Practice address
750 S ORANGE BLOSSOM TRL, ORLANDO, FL 32805-3118
(407) 758-4910
Mailing address
4325 FOUNTAINVIEW LN, #5102, ORLANDO, FL 32808-1198
(904) 566-1975
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/17/2013
Last updated
03/19/2013
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