NEUROGENESIS CENTER OF FLORIDA, PLLC

MAITLAND, FL
NPI1922474907
Entity TypeOrganization
Authorized ContactAMBER L FASULA
Owner
407-790-4101
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: FL  PY9333)
Enumeration Date2015-08-13
Last Update Date2021-04-24
Business Address
NEUROGENESIS CENTER OF FLORIDA, PLLC
253 N ORLANDO AVE STE 202
MAITLAND, FL 32751-5521
Phone number: 407-790-4101
Mailing Address
NEUROGENESIS CENTER OF FLORIDA, PLLC
253 N ORLANDO AVE STE 202
MAITLAND, FL 32751-5521
Phone number: 407-790-4101
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