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General NPI Number Information
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NPI Number | 1497221865
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH OF CENTRAL FLORIDA, LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 929 N US HIGHWAY 441 STE 102
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City | LADY LAKE
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State | FL
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Zip | 32159-3002
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Country | US
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Telephone | 352-633-0473
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Fax | 352-775-9562
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Provider Business Mailing Address
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Address Line | 3819 SE 38TH LOOP
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City | OCALA
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State | FL
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Zip | 34480-4942
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Country | US
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Telephone | 787-637-2581
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. IVONNE M FERRER HOPGOOD
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Credential | PSYCHOLOGIST
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Telephone | 787-637-2581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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