| Carol A Visconti, Llc | |
|
2285 Marsh Hawk Ln Apt 3-302 Fleming Island FL 32003-6363 | |
| (856) 982-8601 | |
| Not Available |
| Full Name | Carol A Visconti, Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2285 Marsh Hawk Ln, Fleming Island, Florida |
| Authorized Official Name and Position | Carol A Visconti (OWNER/OPERATOR) |
| Authorized Official Contact | 8569828601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Visconti, Llc 2285 Marsh Hawk Ln Apt 3-302 Fleming Island FL 32003-6363 Ph: (856) 982-8601 | Carol A Visconti, Llc 2285 Marsh Hawk Ln Apt 3-302 Fleming Island FL 32003-6363 Ph: (856) 982-8601 |
| NPI Number | 1538607171 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538607171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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