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Individual

MRS. JANICE HARE FLORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
5083 SOUTHPORT SUPPLY RD SE, UNIT 4, SOUTHPORT, NC 28461-8155
(910) 454-9001
(910) 454-4039
Mailing address
3605 W BEACH DR, OAK ISLAND, NC 28465-7842
(910) 454-9001
(910) 454-4039

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2929
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133V5
BLUE CROSS BLUE SHIELD
NC
05
7211567
NC
05
7301535
NC
Enumeration date
02/05/2007
Last updated
07/09/2007
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