Toro12 LLC
NPI #1295148872 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1295148872
- Entity Type
- Organization
- Organization Name
- Toro12 LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 11, 2014
- Last Updated
- Jun 11, 2014
Practice Location
- Address
- 1117 MASSACHUSETTS AVE
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-3787
- Phone
- (407) 593-6521
Authorized Official
- Name
- JACEK DYGDON
- Title
- OWNER
- Phone
- (386) 315-0899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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