NPI 1649697103

James Leo Zolg

Practitioner Foster Care Agency Orlando, FL

Practice location

Address: 3840 Cassia Dr, Orlando, FL 32828-7711
Phone: (407) 737-0926
Fax: (407) 737-0926

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 7G 427 A (FL)

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Registry record

NPI: 1649697103
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2014
Record last updated: 23 Mar 2014

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.