Individual
AIME CAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
(407) 648-4150
Mailing address
3000 ELBIB DR, SAINT CLOUD, FL 34772-8513
(407) 334-9634
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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