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Organization

CMCC AMERICA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNARD O SPOONER RN (CONSULTANT)
(813) 992-7867
Entity
Organization

Contact information

Practice address
1107 ROSERY RD NW APT 4201, LARGO, FL 33770-1262
(727) 340-0223
Mailing address
1107 ROSERY RD NW APT 4201, LARGO, FL 33770-1262
(727) 340-0223

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/17/2022
Last updated
02/17/2022
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