Individual
JACKELINE BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
Mailing address
10137 EASTMAR COMMONS BLVD APT 1537, ORLANDO, FL 32825-4514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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