Organization
DIVINE CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET RUBY HERNANDEZ- MED (TARGETED CASE MANAGER)
(302) 222-1956
Entity
Organization
Contact information
Practice address
750 S ORANGE BLOSSOM TRL, ORLANDO, FL 32805-3118
(321) 732-8480
(321) 558-7044
Mailing address
750 S ORANGE BLOSSOM TRL, ORLANDO, FL 32805-3118
(321) 732-8480
(321) 558-7044
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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