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Organization

MARIA R. VIJIL

Active
Other names
Rosie
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA ROSARIO VIJIL CNA (PROVIDER FOR PERSONS WITH DISABILIT)
(727) 495-1124
Entity
Organization

Contact information

Practice address
2211 EISENHOWER DR, 105, DUNEDIN, FL 34698-5600
(727) 495-1124
(727) 848-8198
Mailing address
2211 EISENHOWER DR, 105, DUNEDIN, FL 34698-5600
(727) 495-1124
(727) 848-8198

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
685783301
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
685783301
FL
Enumeration date
01/11/2017
Last updated
01/11/2017
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