Individual
LATOSHA R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5334 AEOLUS WAY, ORLANDO, FL 32808-5957
(407) 669-6681
Mailing address
5334 AEOLUS WAY, ORLANDO, FL 32808-5957
(407) 669-6681
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B650-536-74-554-0
FL
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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