Organization
VALOR LAKES HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN HAGAN LMSW (CONTRACTING MANAGER)
(512) 535-7770
Entity
Organization
Contact information
Practice address
12629 US 27, CLERMONT, FL 34711-8588
(407) 725-0012
(407) 209-0788
Mailing address
741 8TH ST, CLERMONT, FL 34711-2157
(407) 725-0012
(407) 209-0788
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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