Organization
GUARDIAN INSURANCE GROUP
Active
Other names
Care Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKER NEAL RN (MANAGING MEMBER)
(772) 217-5453
Entity
Organization
Contact information
Practice address
1101 N US HIGHWAY 1, FORT PIERCE, FL 34950-9128
(772) 204-3050
Mailing address
1101 N US HIGHWAY 1, FORT PIERCE, FL 34950-9128
(772) 204-3050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9403836
FL
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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