ANTONIO VEGA-PACHECO, M.S., L.M.H.C.
Mental Health at Ruby Ave, Kissimmee, FL

License number
Florida MH-5594
Category
Mental Health
Type
Mental Health
Address
Address
201 Ruby Ave SUITE A, Kissimmee, FL 34741
Phone
(407) 518-9161
(407) 518-9942 (Fax)
National Provider ID: 1902963234
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ANTONIO VEGA-PACHECO at bizstanding.com

ANTONIO VEGA-PACHECO, PA

Davenport, FL  -  Kissimmee, FL

Status:
Inactive
Industry:
Business Services at Non-Commercial Site
Inactive reason:
Amendment And Name Change
Registration:
May 14, 2001
Inactive since:
Apr 6, 2006
Addresses:
711 Brookshire Dr, Davenport, FL 33837 (Physical)
8641 Wellington Loop, Kissimmee, FL 34747
State ID:
P01000050816
Business type:
Florida Profit Corporation
President, Directors:
Vega-Pacheco, Antonio, 711 Brookshire Dr, Davenport, FL 33837 (Physical),Antonio Vega-Pacheco (President, Director)
EIN:
59-3719243

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