Individual
EURIKA EXILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4559 W GORE AVE, ORLANDO, FL 32811-4536
(407) 252-4274
Mailing address
4559 W GORE AVE, ORLANDO, FL 32811-4536
(407) 252-4274
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
07489634Z
FL
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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