Individual
LAVORYIA TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24940 HYDE PARK BLVD, LAND O LAKES, FL 34639-6306
(954) 821-2599
Mailing address
24940 HYDE PARK BLVD, LAND O LAKES, FL 34639-6306
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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