Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP9239492 | FL |
NPI | 1023554227 |
---|---|
Provider Name | Mrs. Ines Maria Viloria |
First Address | Orlando, FL 32819-9083 |
Second Address | Orlando, FL 32819-9083 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2017 |
Last Update Date | 24/04/2017 |