Individual
JOVITA MOISE-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 DORADO AVE, HAINES CITY, FL 33844
(863) 614-4146
Mailing address
2411 DORADO AVE, HAINES CITY, FL 33844
(863) 614-4146
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906761
FL
3747A0650X
Attendant Care Provider
6906761
FL
Other
Enumeration date
04/14/2016
Last updated
05/17/2017
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