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DAVENPORT BEHAVIORAL CENTER LLC 1518634054

Overview
Name: DAVENPORT BEHAVIORAL CENTER LLC Specialty: Psychiatric/Mental Health Nurse Practitioner Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: Psychiatric/Mental Health. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: DAVENPORT BEHAVIORAL CENTER LLC,19 N 6TH STREET,19A,HAINES CITY,FL,33844,US Mailing Address: DAVENPORT BEHAVIORAL CENTER LLC,109 AMBERSWEET WAY,DAVENPORT,FL,338978418,US
Contact #
Practice location phone #: 3216636375 Practice location fax #: Mailing address Phone #: 3216636375 Mailing Address fax #: Authorized official Name/Telephone #:MS., FRAINELYS, CRUZ, PMHNP, PROVIDER 3212784084
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 10/21/2021 Insurances:

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