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NPI Code Detail

MEDICARE: PARENT RESOURCE GROUP OF FLORIDA

MEDICARE: PARENT RESOURCE GROUP OF FLORIDA
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1790486181
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARENT RESOURCE GROUP OF FLORIDA
Provider Business Mailing Address
First Line : 973 HUNTERS MEADOW LN
Second Line :
City : LAKELAND
State : FL
Zip : 33809-6639
Country : US
Telephone Number : 904-705-4366
Fax Number :
Provider Business Practice Location Address
First Line : 7208 W SAND LAKE RD STE 305
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5279
Country : US
Telephone Number : 904-910-7311
Fax Number : 863-874-4357
Authorized Official
Title or Position : OWNER
Name : JACQUELINE Y. ADAMSON
Credential : LMFT
Telephone Number : 904-910-7317
Provider Enumeration Date : 03/13/2023
Last Update Date : 03/14/2023

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Directions to “PARENT RESOURCE GROUP OF FLORIDA ” Practice Location

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