Organization
E&G CLEARVIEW SEVICES INC
Active
Other names
E&G Clearview Sevices Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO VELAZQUEZ (CEO/PRESIDENT)
(407) 690-4532
Entity
Organization
Contact information
Practice address
330 NEW YORK AVE, KISSIMMEE, FL 34741-5133
(407) 690-4532
Mailing address
330 NEW YORK AVE, KISSIMMEE, FL 34741-5133
(407) 690-4532
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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