Organization
STABLES ON BUCK LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER BRASS (OWNER)
(850) 629-6565
Entity
Organization
Contact information
Practice address
9400 BUCK LAKE RD, TALLAHASSEE, FL 32317-8470
(850) 629-6565
Mailing address
9400 BUCK LAKE RD, TALLAHASSEE, FL 32317-8470
(850) 629-6565
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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