ROBERTO GENARO BANUELAS

WINTER PARK, FL
NPI1700350329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  ota14506)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
ROBERTO GENARO BANUELAS COTA
558 N SEMORAN BLVD
WINTER PARK, FL 32792-2840
Phone number: 407-679-1515
Mailing Address
ROBERTO GENARO BANUELAS COTA
30021 STATE ROAD 44
EUSTIS, FL 32736-9287
Phone number: 352-818-7720