Most Relevant Information
Provider Data
| NPI Number: | 1003305889 |
| Provider Name: | KYLE HART |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2018 |
| Last Updated: | 05/07/2018 |
Provider Practice Location
12315 LAKE UNDERHILL RD
ORLANDO
FL
328284507
Practice Location Phone/Fax
| Phone: | 4079641152 |
| Fax: |
Provider Mailing Location
12101 UNIVERSITY BLVD
ORLANDO
FL
328172116
Provider Mailing Phone/Fax
| Phone: | 9546624029 |
| Fax: |