Organization
BELLA SUDORE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MICHELLE WARNBERG LCSW (OWNER)
(813) 284-4221
Entity
Organization
Contact information
Practice address
427 NE 3RD ST STE C, CRYSTAL RIVER, FL 34429-4248
(813) 727-5551
Mailing address
6383 W CONESTOGA ST, BEVERLY HILLS, FL 34465-2069
(813) 284-4221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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