Individual
D'ERICA DIONE OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROTHESIS
Contact information
Practice address
1022 W SR 436 STE 1000, ALTAMONTE SPG, FL 32714-2919
(689) 227-3434
Mailing address
1972 CRANBERRY ISLES WAY, APOPKA, FL 32712-2144
(407) 508-0377
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
K0NUM2LGWU
FL
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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