Individual
MRS. DARA MADELYN VINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
156 N 4TH ST, LAKE MARY, FL 32746-2963
(407) 644-2990
(407) 644-4370
Mailing address
156 N 4TH ST, LAKE MARY, FL 32746-2963
(407) 644-2990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD-936
HI
363AM0700X
Medical Physician Assistant
PA-2744
CO
363AM0700X
Medical Physician Assistant
Primary
PA9113919
FL
Other
Enumeration date
03/06/2008
Last updated
03/27/2023
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