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Organization

RECONNECTION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REBA HALEY DOCC (PRESIDENT)
(813) 716-3996
Entity
Organization

Contact information

Practice address
212 S SAINT CLOUD AVE, VALRICO, FL 33594-3992
(813) 716-3996
Mailing address
6321 US HIGHWAY 301 S, RIVERVIEW, FL 33578-3850
(813) 716-3996

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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