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Organization

MY FREEDOM QUEST, INC.

Active
Other names
my freedom quest
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER A. BUTKINS PH,D. (DIRECTOR)
(407) 718-6960
Entity
Organization

Contact information

Practice address
2989 W SR 434 STE 100, LONGWOOD, FL 32779-4898
(407) 786-1913
(407) 960-2636
Mailing address
1412 OAK PL APT G, APOPKA, FL 32712-1901
(407) 718-6960

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000755
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NPI
NPI
FL
Enumeration date
04/07/2018
Last updated
04/07/2018
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