Individual
SEIVEY SPRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 LEO JEFFERSON AVE, AVON PARK, FL 33825-4734
(186) 387-3178
Mailing address
1405 LEO JEFFERSON AVE, AVON PARK, FL 33825-4734
(186) 387-3178
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
236821
FL
376J00000X
Homemaker
236821
FL
Other
Enumeration date
02/10/2021
Last updated
04/15/2021
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