Michael Bombka LLC

NPI #1669913430 in Lake Mary, Florida

Provider Information

NPI Number: 1669913430
Entity Type: Organization
Organization Name: Michael Bombka LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 2605 W LAKE MARY BLVD
City: Lake Mary
State: Florida
ZIP Code: 32746-3568
Phone: (407) 463-4907

Authorized Official

Name: MR. MICHAEL ALLAN BOMBKA
Title: PRESIDENT
Phone: (407) 463-4907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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