Individual
FLORELENA JORGE DI PROFIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2388 GRAND CENTRAL PKWY APT 5, ORLANDO, FL 32839-5044
(321) 732-1288
Mailing address
2388 GRAND CENTRAL PKWY APT 5, ORLANDO, FL 32839-5044
(321) 732-1288
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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