Individual
JEFFERY SARMIENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 ETHAN AVE, DAVENPORT, FL 33897-5420
(407) 437-4618
Mailing address
404 ETHAN AVE, DAVENPORT, FL 33897-5420
(407) 437-4618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14839
FL
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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