EDLYNE D FORT

KISSIMMEE, FL
NPI1801131271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN1338091)
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
-- EDLYNE D FORT
206 PARK PLACE BLVD
KISSIMMEE, FL 34741-2344
Phone number: 407-846-0023
Mailing Address
-- EDLYNE D FORT
206 PARK PLACE BLVD
KISSIMMEE, FL 34741-2344
Phone number: 407-846-0023
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