NPI 1497314504
Charlot Marie Manderson
Practice location
- Address
- 1002 S Dillard St, Winter Garden, FL 34787-3991
- Phone
- (407) 877-0029
- Fax
- (407) 358-5207
- Mailing address
- 3507 Starcatcher St, Saint Cloud, FL 34772-8272
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1497314504
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jun 2019
- Record last updated
- 11 Jul 2019
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.