Individual
AIDA JEVON MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7243 DELLA DR, SUITE J, ORLANDO, FL 32819-5104
(321) 842-2090
(321) 843-3574
Mailing address
7243 DELLA DR STE J, ORLANDO, FL 32819-5106
(321) 842-2090
(321) 843-3574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11039022
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126763000
—
FL
Enumeration date
03/21/2025
Last updated
06/02/2025
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