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Individual

THOMAS RECINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-8995
(407) 906-1136
Mailing address
127 W FAIRBANKS AVE # 445, WINTER PARK, FL 32789-4326
(407) 906-1136

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
023585
NY
103T00000X
Psychologist
Primary
PY10859
FL

Other

Enumeration date
02/19/2013
Last updated
02/07/2023
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