Individual
SANDRA PURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR
Contact information
Practice address
725 DESOTO AVE, BROOKSVILLE, FL 34601-2813
(352) 405-1234
(352) 388-1924
Mailing address
4344 RACHEL BLVD, SPRING HILL, FL 34607-2532
(352) 405-1234
(352) 388-1924
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
30212059
FL
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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