Individual
SANDRA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGAER
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
Mailing address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11342500
—
FL
Enumeration date
04/08/2021
Last updated
03/08/2023
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