Individual
VONTRISE MIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 ORCHID SPRINGS DR, WINTER HAVEN, FL 33884-1645
(863) 229-6295
Mailing address
724 ORCHID SPRINGS DR, WINTER HAVEN, FL 33884-1645
(863) 229-6295
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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