Individual
MIA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11830 GLASS HOUSE LN STE 120, ORLANDO, FL 32836-3797
(407) 964-8665
(407) 964-8665
Mailing address
11830 GLASS HOUSE LN STE 120, ORLANDO, FL 32836-3797
(407) 964-8665
(407) 964-8665
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
FS937020
FL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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