Healthcare Provider Details

I. General information

NPI: 1114439387
Provider Name (Legal Business Name): LIVING RATIONALLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2017
Last Update Date: 10/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VAN ARSDALE ST
OVIEDO FL
32765-9279
US

IV. Provider business mailing address

1200 VAN ARSDALE ST
OVIEDO FL
32765-9279
US

V. Phone/Fax

Practice location:
  • Phone: 407-756-2033
  • Fax: 407-366-7966
Mailing address:
  • Phone: 407-756-2033
  • Fax: 407-366-7966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MAUREEN E STEINMEYER
Title or Position: OFFICE MANAGER
Credential:
Phone: 407-756-2033