| Frontier Therapy Llc. | |
|
430 N Mills Ave Ste 4 Orlando FL 32803-5746 | |
| (407) 423-0790 | |
| Not Available |
| Full Name | Frontier Therapy Llc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 430 N Mills Ave Ste 4, Orlando, Florida |
| Authorized Official Name and Position | Andrew Watson (OWNER) |
| Authorized Official Contact | 4074970760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Therapy Llc. 430 N Mills Ave Ste 4 Orlando FL 32803-5746 Ph: (407) 423-0790 | Frontier Therapy Llc. 430 N Mills Ave Ste 4 Orlando FL 32803-5746 Ph: (407) 423-0790 |
| NPI Number | 1013400118 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013400118 | NPI | - | NPPES |
| 14268544 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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