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Organization
MILESTONES EARLY INTERVENTION SERVICES NETWORK
Active
Organization
MILESTONES EARLY INTERVENTION SERVICES NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BRADSHAW (SOLE MBR)
(863) 638-8372
Entity
Organization
Contact information
Practice address
170 FITZGERALD RD STE 1, LAKELAND, FL 33813-2633
(863) 638-8372
Mailing address
170 FITZGERALD RD STE 1, LAKELAND, FL 33813-2633
(863) 638-8372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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