Organization
VISIONS TCM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERLINE THOMAS (PROGRAM ADMINISTRATOR)
(407) 716-9896
Entity
Organization
Contact information
Practice address
340 WILSHIRE BLVD, CASSELBERRY, FL 32707-5370
(407) 716-9896
Mailing address
340 WILSHIRE BLVD, CASSELBERRY, FL 32707-5370
(407) 716-9896
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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