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NPI Code Detail

MEDICARE: FLORIDA ADULT & COMMUNITY ENRICHMENT SERVICES INC.

MEDICARE: FLORIDA ADULT & COMMUNITY ENRICHMENT SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)HCC8234FL

General Provider Information

NPI Number : 1265610729
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA ADULT & COMMUNITY ENRICHMENT SERVICES INC.
Provider Business Mailing Address
First Line : PO BOX 144615
Second Line :
City : CORAL GABLES
State : FL
Zip : 33114-4615
Country : US
Telephone Number : 239-403-9400
Fax Number : 239-352-0300
Provider Business Practice Location Address
First Line : 2500 AIRPORT RD S
Second Line : SUITE 210
City : NAPLES
State : FL
Zip : 34112-4880
Country : US
Telephone Number : 239-403-9400
Fax Number : 239-352-0300
Authorized Official
Title or Position : PRESIDENT
Name : DR. FELIX ORLANDO PADRON
Credential : PSY.D., LMHC, CAP
Telephone Number : 239-403-9400
Provider Enumeration Date : 02/07/2008
Last Update Date : 05/14/2013

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