Individual
MRS. DIMITRA VAJDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 3RD ST SW STE 20, WINTER HAVEN, FL 33880-3409
(813) 703-1632
Mailing address
PO BOX 2419, WINTER HAVEN, FL 33883-2419
(813) 703-1632
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CL1229273
FL
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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