Organization
HOUSE OF FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE YSRAEL MENDEZ MD (PRESIDENT)
(407) 738-3030
Entity
Organization
Contact information
Practice address
2311 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2313
(407) 738-3030
Mailing address
2311 N ORANGE BLOSSOM TRL, KISSIMMEE, FL 34744-2313
(407) 738-3030
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME107982
FL
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/10/2012
Last updated
05/14/2019
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