Organization
FAMILY CONNECTIONSOUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE SMALL (MEMBER)
(407) 530-7645
Entity
Organization
Contact information
Practice address
303 SONOMA VALLEY CIR, ORLANDO, FL 32835-5141
(252) 412-8379
Mailing address
303 SONOMA VALLEY CIR, ORLANDO, FL 32835-5141
(252) 412-8379
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123999
STATE
FL
Enumeration date
06/08/2015
Last updated
06/08/2015
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