Individual
CONSUELO GIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PINE TREE DR, CASSELBERRY, FL 32707-2928
(407) 480-7949
Mailing address
140 PINE TREE DR, CASSELBERRY, FL 32707-2928
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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