Individual
JUCELY PAULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMS
Contact information
Practice address
3487 W VINE ST, KISSIMMEE, FL 34741-4668
(407) 747-1763
Mailing address
3487 W VINE ST, KISSIMMEE, FL 34741-4668
(407) 747-1763
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
L22000044492
FL
Other
Enumeration date
07/06/2022
Last updated
07/25/2022
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