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Individual

BEDRA JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1045 NW 67TH ST, OCALA, FL 34475-8566
(352) 239-8740
Mailing address
PO BOX 6564, OCALA, FL 34478-6564

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
FL
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
FL
376K00000X
Nurse's Aide
Primary
CNA368414
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J520-075-77-942-0
IDENTIFICATION NUMBER
FL
Enumeration date
04/24/2021
Last updated
04/24/2021
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