Individual
GISELLE BENITEZ FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13574 VILLAGE PARK DR STE 205, ORLANDO, FL 32837-7694
(407) 990-2847
Mailing address
1341 CAMAS AVE NW, PALM BAY, FL 32907-8090
(845) 649-1281
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4450
FL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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