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Individual

ARELIS NEGRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2130 MICHIGAN AVE # 314, KISSIMMEE, FL 34744-2927
(407) 641-0808
(407) 812-4358
Mailing address
4408 BLUE MESA CT, CLERMONT, FL 34714-6510

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101966800
FL
Enumeration date
05/28/2018
Last updated
12/30/2025
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