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1518634054
DAVENPORT BEHAVIORAL CENTER LLC
HAINES CITY, FL
NPI
1518634054
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Entity Type
Organization
Authorized Contact
FRAINELYS CRUZ
Provider
321-278-4084
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-08-24
Last Update Date
2021-10-21
Business Address
DAVENPORT BEHAVIORAL CENTER LLC
19 N 6TH STREET 19A
HAINES CITY, FL 33844
Phone number: 321-663-6375
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Mailing Address
DAVENPORT BEHAVIORAL CENTER LLC
109 AMBERSWEET WAY
DAVENPORT, FL 33897-8418
Phone number: 321-663-6375
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