Individual
SANDRA ONTKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 ORLANDO CENTRAL PKWY, ORLANDO, FL 32809-5759
(407) 240-6268
Mailing address
12618 CHELMSFORD CT, ORLANDO, FL 32837-6541
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2190122
FL
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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