Individual
DUBY EDITH AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 846-6040
(407) 846-9540
Mailing address
1111 N CENTRAL AVE, KISSIMMEE, FL 34741-4405
(407) 846-6040
(407) 846-9540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME85055
FL
208100000X
Physical Medicine & Rehabilitation Physician
ME85055
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME85055
FL
Other
Enumeration date
04/18/2006
Last updated
09/29/2021
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