IVELISSE MEDINA

ORLANDO, FL
NPI1013795608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QH0700X Clinic/Center, Hearing and Speech
(Licence: FL  SI2200)
Enumeration Date2023-09-15
Last Update Date2023-09-15
Business Address
IVELISSE MEDINA SLPA
11993 KAJETAN LN
ORLANDO, FL 32827-7153
Phone number: 407-335-8578
Mailing Address
IVELISSE MEDINA SLPA
11993 KAJETAN LN
ORLANDO, FL 32827-7153
Phone number: 407-335-8578