FOUNTAIN LIFE ORLANDO, LLC

ORLANDO, FL
NPI1699455956
Entity TypeOrganization
Authorized ContactBARBARA WOO
Director Of Clinical Operations
407-725-1516
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
FOUNTAIN LIFE ORLANDO, LLC
6424 ALEXANDRA LOUISE DR STE 120
ORLANDO, FL 32827-5812
Phone number: 917-810-8672
Mailing Address
FOUNTAIN LIFE ORLANDO, LLC
6424 ALEXANDRA LOUISE DR STE 120
ORLANDO, FL 32827-5812
Phone number: 917-810-8672
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