Individual
TANGELLA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 BOTANY CT, ORLANDO, FL 32811-3959
(407) 860-6495
Mailing address
5321 BOTANY CT, ORLANDO, FL 32811-3959
(407) 860-6495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625778
—
FL
Enumeration date
06/01/2016
Last updated
06/01/2016
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