Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tabula Rasa Renewed

Organization Counselor · NPI 1215279534

Tabula Rasa Renewed is a Counselor in Orlando, Florida. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

702 Park Lake St
Orlando, FL 32803-4024
Phone: (407) 272-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1215279534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cordett McCall — President · (407) 272-3700
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013
Mailing address702 Park Lake St, Orlando, FL 32803-4024

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