Organization
U.S. DEPARTMENT OF VETERANS AFFAIRS ORLANDO VA HEALTHCARE CENTER
Active
Other names
Orlando VA Healthcare center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DORNELL MISTER (SOCIAL WORK)
(407) 599-1472
Entity
Organization
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 599-1472
(407) 599-1472
Mailing address
2001 GLENRIDGE WAY, APARTMENT #48, WINTER PARK, FL 32792
(407) 629-6360
(407) 599-1472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-00571
MI
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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