IndividualActive
Charlot Manderson
NPI 1497314504 · Early Intervention Provider Agency · Winter Garden, FL
Provider details
- NPI number
- 1497314504
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1002 S Dillard St
Winter Garden, FL 34787-3991
Phone: (407) 877-0029
Fax: (407) 358-5207
Mailing address
3507 Starcatcher St
Saint Cloud, FL 34772-8272
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2019-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.