Individual
WISMARD ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 N ORANGE AVE STE 800, ORLANDO, FL 32801-2381
(140) 792-9645
Mailing address
111 N ORANGE AVE STE 800, ORLANDO, FL 32801-2381
(140) 792-9645
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
9142
FL
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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