Individual
PAUL RENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 REGINA CIR, OAKLAND, FL 34787-8962
(321) 662-0040
(407) 517-4414
Mailing address
PO BOX 784806, WINTER GARDEN, FL 34778-4806
(321) 662-0040
(407) 517-4414
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906649
FL
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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