Individual
URSULA SELENA CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1252 ENTERPRISE ST, LAKELAND, FL 33805-3950
(305) 206-7260
(863) 450-4017
Mailing address
1252 ENTERPRISE ST, LAKELAND, FL 33805-3950
(305) 206-7260
(863) 450-4017
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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