Individual
PETUNIA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
1950 LEE RD STE 204, WINTER PARK, FL 32789-7210
(407) 960-7373
Mailing address
6108 OLYMPIC CT, ORLANDO, FL 32808-1421
(407) 616-8624
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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