Search › Florida › 103T00000X
Vivian Loretdemola, PH.D
NPI 1891201638 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3599 W. Lake Mary Blvd, Suite B2
Lake Mary, FL 32746 - Phone
- (386) 675-7467
- Fax
- (386) 256-3665
- Organisation at this address
- Young Strides Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida