Organization
ILENA ROTUNDO
Active
Organization
ILENA ROTUNDO
Active
Parent organization
ILENA ROTUNDO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILENA ROTUNDO
Authorized official
ILENA ROTUNDO (OWNER)
(561) 225-0286
Entity
Organization
Contact information
Practice address
3805 TORRES CIR, WEST PALM BEACH, FL 33409-8119
(561) 225-0286
Mailing address
3805 TORRES CIR, WEST PALM BEACH, FL 33409-8119
(561) 225-0286
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673916
—
FL
Enumeration date
07/12/2017
Last updated
07/21/2022
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