Individual
MRS. DANA SUZANNE BLEDSOE-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
930 W MAIN ST, AVON PARK, FL 33825-3312
(863) 443-4550
Mailing address
1010 US HIGHWAY 98 W, FROSTPROOF, FL 33843-9326
(863) 443-4550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0020445
FL
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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