Individual
VADIA ESTEVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MIRANDA LN STE 127, KISSIMMEE, FL 34741-0771
(321) 300-9077
(321) 291-5124
Mailing address
1101 MIRANDA LN STE 127, KISSIMMEE, FL 34741-0771
(321) 300-9077
(321) 291-5124
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
113497700
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113497700
—
FL
Enumeration date
04/08/2022
Last updated
02/17/2024
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