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Organization

CONCERT HEALTH FLORDIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SPENCER HUTCHINS (MANAGER/ AUTHORIZED OFFICIAL)
(617) 797-4020
Entity
Organization

Contact information

Practice address
618 E SOUTH ST STE 500, ORLANDO, FL 32801-2986
(000) 000-0000
Mailing address
550 W B ST FL 4, SAN DIEGO, CA 92101-3537
(917) 618-4161

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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