Individual
PROVIESS JILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2343 LAKE WESTON DR, 1516, ORLANDO, FL 32810-4492
(401) 327-1354
Mailing address
2343 LAKE WESTON DR, 1516, ORLANDO, FL 32810-4492
(401) 327-1354
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
172A0000X
FL
372500000X
Chore Provider
—
FL
372600000X
Adult Companion
—
FL
374U00000X
Home Health Aide
Primary
—
FL
376J00000X
Homemaker
—
FL
376K00000X
Nurse's Aide
376K00000X
FL
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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