Individual
GRACE LINDA MIMMACK OHNSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 S ORANGE AVE STE 500, ORLANDO, FL 32806-2153
(305) 899-3230
Mailing address
2175 JUDGE FRAN JAMIESON WAY APT 307, MELBOURNE, FL 32940-6177
(720) 224-2116
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9635023
FL
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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