Individual
MS. SUGEY G. LIBRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 SPOONBILL AVE, ORLANDO, FL 32822-7727
(407) 968-7158
Mailing address
1239 MYRTLE ST, ORLANDO, FL 32807-3515
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
6906944
FL
3747P1801X
Personal Care Attendant
6906944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831428230
ASSISTED LIVING FACILITY
FL
Enumeration date
04/27/2018
Last updated
03/15/2019
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