Individual
SANDY CILLIAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S KIRKMAN RD UNIT 616145, ORLANDO, FL 32861-2508
(904) 525-7149
Mailing address
PO BOX 616145, ORLANDO, FL 32861-6145
(904) 525-7149
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOMECARE
HOMECARE
FL
Enumeration date
03/15/2021
Last updated
03/15/2021
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