| Fly Wheel Center Fl Llc | |
|
400 International Pkwy Heathrow FL 32746-5061 | |
| (347) 524-8681 | |
| Not Available |
| Full Name | Fly Wheel Center Fl Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 400 International Pkwy, Heathrow, Florida |
| Authorized Official Name and Position | Shraga F Waxman (CEO) |
| Authorized Official Contact | 3475248681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fly Wheel Center Fl Llc 174 White St Lakewood NJ 08701-4054 Ph: (347) 524-8681 | Fly Wheel Center Fl Llc 400 International Pkwy Heathrow FL 32746-5061 Ph: (347) 524-8681 |
| NPI Number | 1962290312 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962290312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Jenaro Fernandez Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Langham Ter, Heathrow, FL 32746 Phone: 407-804-9551 | |
Jacqueline L Williams, Phd, Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 International Pkwy, Ste 2000, Heathrow, FL 32746 Phone: 407-956-5773 Fax: 407-536-5301 |