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Julissa Taveras

NPI 1922241918 · on the registry since 2009 · sole proprietor

Practice

Address
5907 Clydesdale Pl
Orlando, FL 32822
Phone
(407) 810-8463

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
NY, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-25

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