Individual
URSULE BISSERETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 ISLAND GREEN ST, CHAMPIONS GATE, FL 33896-6806
(863) 272-9781
Mailing address
1322 ISLAND GREEN ST, CHAMPIONS GATE, FL 33896-6806
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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