Individual
GABRIELA MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
104 W VINE ST, KISSIMMEE, FL 34741-4430
(347) 471-9024
Mailing address
2574 TANNER TER, KISSIMMEE, FL 34743-6118
(347) 471-9024
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7618
FL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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