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1114669991
BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE
ORLANDO, FL
NPI
1114669991
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Entity Type
Organization
Authorized Contact
ESTHER LUC PELISSIER
Ap RN
407-412-6652
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-04-11
Last Update Date
2022-05-17
Business Address
BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE
6100 LAKE ELLENOR DR STE 205
ORLANDO, FL 32809-4632
Phone number: 407-412-6652
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Mailing Address
BRIGHTSOUL BEHAVIORAL & MEDICAL HEALTHCARE
2098 WINNETKA CT
ORLANDO, FL 32818-5325
Phone number:
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