Individual
MRS. HEATHER JO VAN SLYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7000 LAKE ELLENOR DR, ORLANDO, FL 32809-5749
(407) 858-5555
(407) 856-6532
Mailing address
527 LIGHTNING TRL, MAITLAND, FL 32751-4048
(407) 808-3864
(407) 856-6532
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN9219345
FL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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