Individual
SANDRA BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 MCCREA DR, LUTZ, FL 33549-3580
(813) 390-9062
Mailing address
1402 MCCREA DR, LUTZ, FL 33549-3580
(813) 390-9062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2355S0801X
Speech-Language Assistant
Primary
SI 2436
FL
Other
Enumeration date
06/11/2013
Last updated
08/25/2016
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