Organization
AIDVANTAGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESHIA M BRYANT (OWNER)
(407) 757-6555
Entity
Organization
Contact information
Practice address
2573 CABERNET CIR, OCOEE, FL 34761-5042
(407) 757-6555
Mailing address
2573 CABERNET CIR, OCOEE, FL 34761-5042
(407) 757-6555
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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