Organization
SHEAR EXPRESSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA ALICE ADAMS (OWNER)
(352) 486-6899
Entity
Organization
Contact information
Practice address
490 E HATHAWAY AVE, BRONSON, FL 32621-6736
(352) 486-6899
(352) 486-3865
Mailing address
PO BOX 247, BRONSON, FL 32621-0247
(352) 486-6899
(352) 486-3865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM20690
FL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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