Individual
JANICE KAY BORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PINECREST DR, SANFORD, FL 32773-5446
(407) 430-6273
Mailing address
126 PINECREST DR, SANFORD, FL 32773-5446
(407) 430-6273
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ORI#FL922013Z
—
FL
Enumeration date
05/29/2014
Last updated
05/29/2014
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