Individual
ASHLEY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S ORANGE BLOSSOM TRL STE 138, ORLANDO, FL 32805-3156
(321) 895-8172
Mailing address
2124 PARADISE POINT LN, APOPKA, FL 32703-9406
(321) 895-8172
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
FL
Enumeration date
09/11/2020
Last updated
09/11/2020
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