Organization
INTEGRATED NEUROSCIENCES OF ORLANDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEDA HENDERSON (DIRECTOR OF OPERATIONS)
(772) 713-6290
Entity
Organization
Contact information
Practice address
7450 DR PHILLIPS BLVD, STE 314, ORLANDO, FL 32819-5119
(407) 757-2523
(407) 757-2530
Mailing address
7450 DR PHILLIPS BLVD, STE 314, ORLANDO, FL 32819-5119
(407) 757-2523
(407) 757-2530
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME106951
FL
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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