Vildor, Idianise Josue

Vildor, Idianise Josue is an individual health care provider with primary practice located at 1193 Blackwood Ave , Ocoee FL 34761-4518. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vildor, Idianise Josue can be contacted via phone (407) 851-5121.

Contact Information

Primary practice address
1193 Blackwood Ave Ocoee FL 34761-4518
Phone: (407) 851-5121
Fax: (407) 851-0439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9316505 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9316505 Florida

Profile Details

NPI number 1679060206
LBN Legal business name Vildor, Idianise Josue
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Feb 17th, 2023 - about 3 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.

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