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Organization

KINDER INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA KILLGORE TEAL MS (DIRECTOR)
(407) 898-7798
Entity
Organization

Contact information

Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 898-7798
Mailing address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 898-7798

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SW6468
FL
261QM1300X
Multi-Specialty Clinic/Center
SW6468
FL

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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