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Individual

EDITH BORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MANAGER

Contact information

Practice address
8378 FORT CLINCH AVE, ORLANDO, FL 32822-7179
(407) 719-0496
(407) 374-9948
Mailing address
227 WOODBURY PINES CIR, ORLANDO, FL 32828-9086
(407) 719-0496
(407) 374-9948

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13771
FL

Other

Enumeration date
10/23/2015
Last updated
08/12/2024
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