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Individual

WILLIAM H DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1415 STELLAR DR, OVIEDO, FL 32765-9685
(585) 303-4501
Mailing address
1415 STELLAR DR, OVIEDO, FL 32765-9685
(585) 303-4501

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
100082847
FL

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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