Individual
NATASHA FORNARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 S HIAWASSEE RD APT 123, ORLANDO, FL 32835-5785
(305) 345-1986
Mailing address
PO BOX 616124, ORLANDO, FL 32861-6124
(305) 345-1986
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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