Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dietanurun Bose Omadevuae

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1942881404

Dietanurun Bose Omadevuae is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Orlando, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

10920 Moss Park Rd
Orlando, FL 32832-6086
Phone: (407) 930-4339
Fax: (407) 745-1326
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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1942881404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2021
Last updated in NPPESMay 13, 2025
Certification dateMay 6, 2025

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