Individual
THERESA SYDNEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 CABERNET CIR, OCOEE, FL 34761-5041
(407) 404-0364
Mailing address
2524 CABERNET CIR, OCOEE, FL 34761-5041
(407) 404-0364
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
FL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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