Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
N | 156FX1100X | Ophthalmic | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1578141107 |
---|---|
Provider Name | Patricia Ann Le Doux |
First Address | Orlando, FL 32824-9114 |
Second Address | Orlando, FL 32824-9114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2021 |
Last Update Date | 02/04/2021 |