Individual
LINDA F ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12649 US HWY 301, DADE CITY, FL 33525
(352) 523-2930
(352) 523-2936
Mailing address
PO BOX 1107, LACOOCHEE, FL 33537
(352) 583-0576
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
300101041159907
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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