Organization
MAGIG KINGDOM KIDS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WUILMAY DEURITH VARELA MORAN (MANAGER)
(954) 592-6596
Entity
Organization
Contact information
Practice address
6827 PARTRIDGE LN STE E, ORLANDO, FL 32807-5312
(954) 592-6596
Mailing address
6827 PARTRIDGE LN STE E, ORLANDO, FL 32807-5312
(954) 592-6596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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