Individual
DEIDRE M PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
(407) 703-5959
(407) 814-3863
Mailing address
901 DOUGLAS AVE STE 205, ALTAMONTE SPRINGS, FL 32714-2057
(407) 703-5959
(407) 814-3863
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003564600
—
FL
Enumeration date
02/10/2012
Last updated
02/10/2012
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