Organization
CENTRAL FLORIDA DREAMPLEX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GOMES (PRESIDENT)
(352) 394-0212
Entity
Organization
Contact information
Practice address
2400 S HIGHWAY 27, SUITE B201, CLERMONT, FL 34711-6816
(352) 394-0212
(352) 241-6361
Mailing address
PO BOX 120547, CLERMONT, FL 34712-0547
(352) 394-0212
(352) 241-6361
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880914300
—
FL
Enumeration date
10/17/2006
Last updated
01/30/2023
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