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Individual

EMILY B MATTEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
923 SAND CREST DR, PORT ORANGE, FL 32127-4822
(386) 235-8369
Mailing address
192 BLACK DUCK CIR, DAYTONA BEACH, FL 32119-8335
(386) 235-8369

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
02/26/2024
Last updated
02/26/2024
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