Individual
VALERI' PANDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EI
Contact information
Practice address
111 NATURE WALK PARKWAY SUITE 101, ST AUGUSTINE, FL 32092
(904) 230-7761
(904) 230-7763
Mailing address
3541 N.W. 24TH BLVD, #107, GAINESVILLE, FL 32605
(352) 359-8787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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