Individual
ANA V PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10820 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6141
(813) 490-5490
Mailing address
10820 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6141
(813) 490-5490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
04/09/2013
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