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Individual

SOPHIA NERDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2855 SNYDER RD, SEBRING, FL 33870-9117
(864) 414-2549
(863) 382-7543
Mailing address
PO BOX 507, SEBRING, FL 33871-0507
(863) 414-2549
(863) 382-7543

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
680292396
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
680292396
FL
Enumeration date
01/22/2015
Last updated
01/22/2015
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