Individual
AXENETTE NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8126 SUN VISTA WAY, ORLANDO, FL 32822-7538
(787) 528-7701
Mailing address
8126 SUN VISTA WAY, ORLANDO, FL 32822-7538
(787) 528-7701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
09/30/2015
Last updated
10/02/2015
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