Individual
LINDA CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5560 METROWEST BLVD, 306, ORLANDO, FL 32811-2461
(347) 263-0950
Mailing address
5560 METROWEST BLVD, APT 306, ORLANDO, FL 32811-2461
(347) 263-0950
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT12576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT12576
OTR LICENSE
FL
Enumeration date
12/29/2006
Last updated
07/08/2009
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