Individual
DEMETRIA NEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMEMAKER
Contact information
Practice address
5993 LEE VISTA BLVD, ORLANDO, FL 32822-1542
(407) 779-6004
Mailing address
5993 LEE VISTA BLVD, ORLANDO, FL 32822-1542
(407) 779-6004
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237964
FL
376J00000X
Homemaker
—
FL
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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