Individual
RIA GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4657 DORAL PARK AVE, KISSIMMEE, FL 34758-2867
(863) 514-2338
Mailing address
4657 DORAL PARK AVE, KISSIMMEE, FL 34758-2867
(863) 514-2338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9343880
FL
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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