Organization
READY 4 THE CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA AZAM (OWNER)
(407) 923-0999
Entity
Organization
Contact information
Practice address
13630 SUMMER RAIN DR, ORLANDO, FL 32828-7447
(321) 945-3502
Mailing address
13630 SUMMER RAIN DR, ORLANDO, FL 32828-7447
(321) 945-3502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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