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Organization

COGNITIVE BEHAVIORAL THERAPY OF SOUTH FLORIDA PLLC

Active
Other names
Cognitive Behavioral Therapy of Central Florida
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GWILYM N RODDICK DSW, LCSW (PRESIDENT/PSYCHOTHERAPIST)
(407) 307-0300
Entity
Organization

Contact information

Practice address
1309 E ROBINSON ST, ORLANDO, FL 32801-2117
(407) 307-0300
Mailing address
1309 E ROBINSON ST, ORLANDO, FL 32801-2117
(407) 307-0300

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861814584
INDIVIDUAL NPI
NY
Enumeration date
08/15/2022
Last updated
08/15/2022
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