Individual
FABIOLA S CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
886 S DILLARD ST, WINTER GARDEN, FL 34787-3910
(407) 905-8908
Mailing address
1153 KEMPTON CHASE PKWY, ORLANDO, FL 32837-6328
(407) 963-7301
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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