Individual
WILSON ORIANTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3616 AVENUE S, RIVIERA BEACH, FL 33404-2039
(561) 667-2424
Mailing address
3616 AVENUE S, RIVIERA BEACH, FL 33404-2039
(561) 667-2424
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
092002
FL
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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