Individual
MRS. GERDA MOTHERSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W BAY AVE, LONGWOOD, FL 32750-4124
(321) 422-0829
(321) 422-0830
Mailing address
114 W BAY AVE, LONGWOOD, FL 32750-4124
(321) 422-0829
(321) 422-0830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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