Organization
IBCK SPECIAL NEEDS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN O GONZALEZ (EXECUTIVE DIRECTOR)
(407) 348-2060
Entity
Organization
Contact information
Practice address
2275 FORTUNE RD, KISSIMMEE, FL 34744-4404
(407) 348-2060
(407) 348-2063
Mailing address
2275 FORTUNE RD, KISSIMMEE, FL 34744-4404
(407) 348-2060
(407) 348-2063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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