Provider Information for 1588020929
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JOSELY DANIEL
Sex: Female
NPI: 1588020929
Last Updated: 2016-03-13
Certification Date:
Certification Date:
Details
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NPI | 1588020929 | ||||||||
Enumeration Date | 2016-01-14 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 2479 ALOMA AVE WINTER PARK, FL 32792-2541 United States Phone: 407-655-0612 | Fax: | ||||||||
Primary Practice Address | 2479 ALOMA AVE WINTER PARK, FL 32792-2541 United States Phone: 407-655-0612 | Fax: | ||||||||
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