Individual
MIA MARIE EBONY GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 MCCULLOUGH AVE, ORLANDO, FL 32803-7202
(352) 445-5966
Mailing address
825 MCCULLOUGH AVE, ORLANDO, FL 32803-7202
(352) 445-5966
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
01/05/2023
Last updated
01/09/2023
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