Individual
JODYON FIEULLETEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROSTHETIC SPECIALIS
Contact information
Practice address
2513 LOBELIA DR, LAKE MARY, FL 32746-2680
(973) 901-5860
Mailing address
2513 LOBELIA DR, LAKE MARY, FL 32746-2680
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
FL
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
FL
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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