Organization
EAGLES HEALTH AND WELLNESS LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE ROSE CIMERVIL SR. P (PRESIDENT)
(407) 822-1107
Entity
Organization
Contact information
Practice address
1308 ROSE BLVD STE A, ORLANDO, FL 32839-3385
(407) 822-1107
(407) 822-1108
Mailing address
1308 ROSE BLVD STE A, ORLANDO, FL 32839-3385
(407) 822-1107
(407) 822-1108
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC7645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7645
HEALTH CARE CLINIC
FL
Enumeration date
06/01/2007
Last updated
08/22/2020
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