Individual
IRES GALLO ELOMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 GARDEN PLAZA, ORLANDO, FL 32803-1111
(407) 488-3557
(407) 894-8893
Mailing address
718 GARDEN PLAZA, ORLANDO, FL 32803-1111
(407) 488-3557
(407) 894-8893
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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