Organization
ISLAND DOLPHIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE R. MCINTOSH DPT (DIRECTOR OF THERAPY)
(305) 451-5884
Entity
Organization
Contact information
Practice address
150 LORELANE PL, KEY LARGO, FL 33037-4235
(305) 451-5884
(305) 453-5399
Mailing address
150 LORELANE PL, KEY LARGO, FL 33037-4235
(305) 451-5884
(305) 453-5399
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
PT18593
FL
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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