Individual
ROBERT PONDER VEREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10010 BENJAMIN SMITH DR, THONOTOSASSA, FL 33592-3367
(813) 986-9003
Mailing address
10010 BENJAMIN SMITH DR, THONOTOSASSA, FL 33592-3367
(813) 986-9003
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905877
FL
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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