Individual
SHARON DUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 S OAKWOOD AVE, BRANDON, FL 33511-6124
(813) 651-3150
(813) 651-3507
Mailing address
716 S OAKWOOD AVE, BRANDON, FL 33511-6124
(813) 651-3150
(813) 651-3507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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