Individual
MS. GEORGIA ELIZABETH LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4980 CEDARBROOK LN, HERNANDO BEACH, FL 34607-2911
(813) 600-5035
Mailing address
4980 CEDARBROOK LN, HERNANDO BEACH, FL 34607-2911
(813) 600-5035
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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