Individual
DIANE PRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 OAK LN, ORANGE CITY, FL 32763-4334
(386) 837-1851
Mailing address
705 OAK LN, ORANGE CITY, FL 32763-4334
(386) 837-1851
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
FL
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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