Individual
MAYRA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 SW THOMAS CT, PORT ST LUCIE, FL 34953-4271
(305) 896-8878
Mailing address
1201 SW THOMAS CT, PORT ST LUCIE, FL 34953-4271
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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