Individual
FIDENCIO MALDONADO RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 ARLINGTON LOOP, HAINES CITY, FL 33844-5437
(863) 450-6469
Mailing address
222 ARLINGTON LOOP, HAINES CITY, FL 33844-5437
(863) 450-6469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15642
FL
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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