Individual
ORDANIA CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 SE 7TH PL, HIALEAH, FL 33010-5642
(305) 303-9668
Mailing address
607 SE 7 PL, HIALEAH, FL 33010
(305) 303-9668
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 63709
MASSAGE THERAPIST
FL
Enumeration date
09/23/2011
Last updated
09/23/2011
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