Zamudio, Dianne
Zamudio, Dianne is an sole proprietor health care provider with primary practice located at 10821 Fallow Trl , Orlando FL 32817-2081. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Agencies / Home Health. Agencies / Home Health is her primary health care specialty. Zamudio, Dianne can be contacted via phone (407) 860-5475.Contact Information
Primary practice address
10821 Fallow Trl
Orlando FL 32817-2081
Phone: (407) 860-5475
Fax: (407) 672-0866
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Agencies / Home Health | 251E00000X |
Profile Details
NPI number | 1194027193 |
---|---|
LBN Legal business name | Zamudio, Dianne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 23rd, 2010 |
Last updated | Jan 28th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194027193 | NPPES |
Florida | MEDICAID | 003954900 | |
Florida | MEDICAID | 000316500 | |
Florida | MEDICAID | 004122000 | |
Florida | MEDICAID | 000316501 |
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