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Individual

ELEYN FANGONILO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1207 N CENTRAL AVE, KISSIMMEE, FL 34741-4407
(407) 870-5959
Mailing address
12322 BOHANNON BLVD, ORLANDO, FL 32824-6093
(407) 927-3731

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36027
FL

Other

Enumeration date
09/25/2020
Last updated
10/07/2020
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