Individual
PHILONA AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7419 COUNTRY RUN PKWY, ORLANDO, FL 32818-8277
(321) 299-5289
Mailing address
7419 COUNTRY RUN PKWY, ORLANDO, FL 32818-8277
(321) 299-5289
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
6906633
FL
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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