Individual
DANIE MOLY COULOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N ORANGE BLOSSOM TRL STE 205, KISSIMMEE, FL 34744-2307
(407) 944-5240
Mailing address
2400 N ORANGE BLOSSOM TRL STE 205, KISSIMMEE, FL 34744-2307
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
11010414
FL
363L00000X
Nurse Practitioner
Primary
11010414
FL
Other
Enumeration date
09/07/2021
Last updated
08/16/2022
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