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Organization

BRIDGE OF HOPE C F

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VANESSA ROMAN (DIRECTOR)
(407) 575-4636
Entity
Organization

Contact information

Practice address
1331 KEVSTIN DR, KISSIMMEE, FL 34744-5844
(407) 575-4636
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(321) 250-7425

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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