Individual
DIANE SCREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4231 AUDUBON OAKS CIR, LAKELAND, FL 33809-5938
(863) 808-7064
Mailing address
PO BOX 90441, LAKELAND, FL 33804-0441
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233733
FL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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