Individual
AMINA WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 HALI RIDGE CT, KISSIMMEE, FL 34747-1211
(718) 986-6579
Mailing address
1040 HALI RIDGE CT, KISSIMMEE, FL 34747-1211
(718) 986-6579
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
FL
Enumeration date
01/23/2023
Last updated
01/23/2023
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