Individual
ESMERALDA SULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5542 METROWEST BLVD, APT 105, ORLANDO, FL 32811-2449
(407) 990-0246
Mailing address
5542 METROWEST BLVD, APT 105, ORLANDO, FL 32811-2449
(407) 990-0246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010386600
—
FL
Enumeration date
08/20/2014
Last updated
08/20/2014
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