Organization
BRIDGE OF HOPE CENTRAL FLORIDA
Active
Other names
Bridge of Hope Central Florida
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR L RODRIGUEZ AS (OPERATION MANAGER)
(407) 575-4636
Entity
Organization
Contact information
Practice address
1331 KEVSTIN DR, KISSIMMEE, FL 34744-5844
(407) 575-4536
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(321) 250-7425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 21145
FL
225X00000X
Occupational Therapist
OT 1181
FL
235Z00000X
Speech-Language Pathologist
Primary
SA10475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000867500
—
FL
05
—
000867501
—
FL
05
—
000867502
—
FL
Enumeration date
06/13/2013
Last updated
06/13/2013
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