Individual
LUIS CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1633 E VINE ST STE 204, KISSIMMEE, FL 34744-3736
(407) 329-3469
Mailing address
1633 E VINE ST STE 204, KISSIMMEE, FL 34744-3736
(407) 386-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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