Individual
PHYLLIS ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 STRATTON AVE, GROVELAND, FL 34736-8203
(352) 321-2727
Mailing address
1121 STRATTON AVE, GROVELAND, FL 34736-8203
(352) 209-1322
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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