NPI 1255510632
Ange Edmond, CEO
Practice location
- Address
- 5248 Shakar Cir, Orlando, FL 32808-1462
- Phone
- (407) 253-7224
- Fax
- (407) 253-3783
- Mailing address
- PO Box 593377, Orlando, FL 32859-3377
Registered specialties (2)
Contractor
Primary
Contractor
Registry record
- NPI
- 1255510632
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Nov 2007
- Record last updated
- 1 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.