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200 Frandorson Cir Ste 205 Apollo Beach FL 33572-2691 | |
| (813) 494-8643 | |
| (813) 494-8708 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Frandorson Cir Ste 205, Apollo Beach, Florida |
| Authorized Official Name and Position | Miriam Innocenti (SOLE MEMBER) |
| Authorized Official Contact | 8134948643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7342 Parkshore Dr Apollo Beach FL 33572-1566 Ph: (813) 494-8643 | 200 Frandorson Cir Ste 205 Apollo Beach FL 33572-2691 Ph: (813) 494-8643 |
| NPI Number | 1245579978 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 04/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245579978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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