Organization
PACT OF FAITH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNYS C VARGAS EXECUTIVE DIRECTOR (CEO)
(407) 300-5813
Entity
Organization
Contact information
Practice address
5817 DAHLIA DR, ORLANDO, FL 32807-3238
(407) 300-5813
(407) 249-2528
Mailing address
5817 DAHLIA DR, ORLANDO, FL 32807-3238
(407) 300-5813
(407) 249-2528
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
26471961
FL
305R00000X
Preferred Provider Organization
—
FL
Other
Enumeration date
11/30/2012
Last updated
07/21/2022
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