Healthcare Provider Details

I. General information

NPI: 1295260164
Provider Name (Legal Business Name): HAND OF PREVISION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2591 CARRICKTON CIR
ORLANDO FL
32824-4217
US

IV. Provider business mailing address

PO BOX 941274
MAITLAND FL
32794-1274
US

V. Phone/Fax

Practice location:
  • Phone: 703-304-3912
  • Fax:
Mailing address:
  • Phone: 703-304-3912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONICA RIVERA
Title or Position: CEO
Credential: CFA
Phone: 703-304-3912