Individual
STEPHANIE R CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 N ORANGE ST, MOUNT DORA, FL 32757-3013
(352) 735-1904
(352) 735-1904
Mailing address
1805 N ORANGE ST, MOUNT DORA, FL 32757-3013
(352) 735-1904
(352) 735-1904
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
005442800
FL
251E00000X
Home Health Agency
006631900
FL
251E00000X
Home Health Agency
006666600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005442800
—
FL
05
—
006631900
—
FL
05
—
006666600
—
FL
Enumeration date
08/14/2014
Last updated
08/14/2014
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