Individual
BERTHA MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 15522, ST PETERSBURG, FL 33733-5522
(727) 520-3183
Mailing address
PO BOX 15522, ST PETERSBURG, FL 33733-5522
(727) 520-3183
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/04/2012
Last updated
06/09/2025
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