Individual
EMILY DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-8005
(407) 823-2000
Mailing address
636 DEERHURST DR, MELBOURNE, FL 32940-2136
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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