| Sunshine Psychological Center Llc | |
|
5730 Loma Vista Drive West Davenport FL 33896 | |
| (863) 424-4923 | |
| (863) 424-4946 |
| Full Name | Sunshine Psychological Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5730 Loma Vista Drive West, Davenport, Florida |
| Authorized Official Name and Position | Gliceria Zoraida Calvo -scott (OWNER THERAPIST) |
| Authorized Official Contact | 8634244946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Psychological Center Llc 5856 Loma Vista Drive West Davenport FL 33896 Ph: (863) 424-4946 | Sunshine Psychological Center Llc 5730 Loma Vista Drive West Davenport FL 33896 Ph: (863) 424-4923 |
| NPI Number | 1972719193 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972719193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT1842 (Florida) | Primary |
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