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Individual

ANNELYSE MARIA PLOGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(727) 547-0607
Mailing address
3491 GANDY BLVD N STE 201, PINELLAS PARK, FL 33781-2654
(727) 547-0607

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7275470607
FL
Enumeration date
08/16/2022
Last updated
08/16/2022
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