Individual
MR. JAMES LEO ZOLG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3840 CASSIA DR, ORLANDO, FL 32828-7711
(407) 737-0926
(407) 737-0926
Mailing address
3840 CASSIA DR, ORLANDO, FL 32828-7711
(407) 737-0926
(407) 737-0926
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
7G 427 A
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009876000
—
FL
Enumeration date
03/23/2014
Last updated
03/23/2014
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