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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194027193 NPPES
Florida MEDICAID 003954900
Florida MEDICAID 000316500
Florida MEDICAID 004122000
Florida MEDICAID 000316501

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