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Individual

LAVINA WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6381 ELMHURST DR, PINELLAS PARK, FL 33782-2032
(727) 224-1624
Mailing address
6381 ELMHURST DR, PINELLAS PARK, FL 33782-2032
(727) 224-1624

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
261QD1600X
Developmental Disabilities Clinic/Center
372600000X
Adult Companion
376J00000X
Homemaker

Other

Enumeration date
10/16/2023
Last updated
06/24/2024
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