Individual
IKEA LIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2336 WESTON POINT DR APT 116, ORLANDO, FL 32810-4455
(407) 489-6107
Mailing address
2336 WESTON POINT DR APT 116, ORLANDO, FL 32810-4455
(407) 489-6107
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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