Individual
REBECCA HANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 215-0095
Mailing address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 215-0095
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
09/16/2024
Last updated
09/19/2024
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