Organization
FAMILY CONNECT LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORETT WILLIAMS (DIRECTOR)
(352) 686-8106
Entity
Organization
Contact information
Practice address
7969 PINEHURST DR, SPRING HILL, FL 34606-4330
(352) 686-8106
(352) 600-7974
Mailing address
7969 PINEHURST DR, SPRING HILL, FL 34606-4330
(352) 686-8106
(352) 600-7974
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
11521
FL
Other
Enumeration date
09/13/2010
Last updated
10/12/2016
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