Male or Other

Abdiel Morales Custodio

Case Manager/Care Coordinator in Kissimmee, FL(View on Map)

Full Name

Abdiel Morales Custodio

NPI Number

1174170583

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/20/2019

Specialties

(Taxonomies)

Code

171M00000X
101Y00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1621 E VINE ST
1621 E VINE ST

City

Kissimmee
Kissimmee

State

FL
FL

Postal Code

34744-3730
34744-3730

Country

US
US

Telephone Number

(407) 437-3172
(407) 437-3172

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/30/2020

Provider Address

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