| NPI | 1841898012 |
|---|---|
| Former Legal Business Name | ANGELS LEGACY, LLC |
| Former Legal Business Name | FULL CIRCLE HEALTHCARE SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | ALEX REY CARDONA President/CEO 407-310-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 163WC0400X Registered Nurse, Case Management | |
| 171M00000X Case Manager/Care Coordinator | |
| 183500000X Pharmacist | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| 183700000X Pharmacy Technician | |
| 207Q00000X Family Medicine | |
| 208U00000X Clinical Pharmacology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-16 |