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
(561) 225-0286
Mailing address
3805 TORRES CIR, WEST PALM BEACH, FL 33409-8119
(561) 225-0286
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673916
—
FL
Enumeration date
09/19/2017
Last updated
07/21/2022
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