Individual
MS. ELAINE MARIE JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2100 SUMMERFIELD RD, WINTER PARK, FL 32792-5037
(407) 622-3217
(407) 622-3214
Mailing address
808 W WINTER PARK ST, ORLANDO, FL 32804-4904
(407) 622-3217
(407) 622-3214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL477
FL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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