Provider Information for 1912652066
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
DENETRESS MONTOYA HINTON
Sex: Female
NPI: 1912652066
Last Updated: 2024-06-27
Certification Date: 2024-06-27
Certification Date: 2024-06-27
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912652066 | ||||||||||||||
| Enumeration Date | 2022-02-17 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 1422 PINE LAKE RD ORLANDO, FL 32808-6323 United States Phone: 321-441-1030 | Fax: | ||||||||||||||
| Primary Practice Address | 1422 PINE LAKE RD ORLANDO, FL 32808-6323 United States Phone: 321-441-1030 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|