Individual
PAULA JOHANA FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 HEATHER AVE, LONGWOOD, FL 32750-2909
(702) 466-5536
Mailing address
320 HEATHER AVE, LONGWOOD, FL 32750-2909
(702) 466-5536
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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