Individual
MS. DIANNE ZAMUDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10821 FALLOW TRL, ORLANDO, FL 32817-2081
(407) 860-5475
(407) 672-0866
Mailing address
PO BOX 5324, WINTER PARK, FL 32793-5324
(407) 860-5475
(407) 672-0866
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000316500
—
FL
05
—
000316501
—
FL
05
—
003954900
—
FL
05
—
004122000
—
FL
Enumeration date
11/23/2010
Last updated
01/28/2014
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