Individual
MARIA ORQUIDEA DIAZ SANQUINTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 AMHERST AVE, MELBOURNE, FL 32901-6943
(321) 220-0206
Mailing address
409 AMHERST AVE, MELBOURNE, FL 32901-6943
(321) 220-0206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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