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Organization

NORTH FLORIDA CARES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA L. HENDERSON PH.D. (OWNER/LEAD PSYCHOLOGIST)
(850) 656-1192
Entity
Organization

Contact information

Practice address
1535 KILLEARN CENTER BLVD, STE C-5, TALLAHASSEE, FL 32309-3467
(850) 656-1192
(850) 386-1300
Mailing address
3111 MAHAN DR STE 20, PMB-2110, TALLAHASSEE, FL 32308-5511
(850) 656-1192
(850) 386-1300

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7246
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
767622100
FL
Enumeration date
12/29/2016
Last updated
12/29/2016
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