Organization
FAMILY PRESERVATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER PRADO M.D. (STATEES MEDICAL DIRECTOR)
(772) 595-3773
Entity
Organization
Contact information
Practice address
121 N 2ND ST STE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
Mailing address
121 N 2ND ST STE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Enumeration date
01/21/2011
Last updated
07/21/2022
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