Organization
INNOVA THERAPY AND MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORKA SILENE DEL CARMEN BANDES DURAND (OWNER)
(407) 308-8627
Entity
Organization
Contact information
Practice address
400 ROYAL TUPPER TER, KISSIMMEE, FL 34744-1034
(689) 255-2316
Mailing address
400 ROYAL TUPPER TER, KISSIMMEE, FL 34744-1034
(689) 255-2316
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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