ERIC PORTALATIN

KISSIMMEE, FL
NPI1013301084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: PR  12863)
Enumeration Date2015-03-26
Last Update Date2015-03-26
Business Address
Mr. ERIC PORTALATIN
120 ZACALO WAY
KISSIMMEE, FL 34743-9547
Phone number: 407-910-8112
Mailing Address
Mr. ERIC PORTALATIN
120 ZACALO WAY
KISSIMMEE, FL 34743-9547
Phone number: 407-910-8112
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