Individual
AMY VLASTELICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 VINCA ROSEA, PUNTA GORDA, FL 33955-1034
(239) 214-4613
Mailing address
605 VINCA ROSEA, PUNTA GORDA, FL 33955-1034
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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