Individual
BLISS WARGOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3919 W NEWBERRY RD STE 5, GAINESVILLE, FL 32607-4828
(352) 373-8189
Mailing address
16371 SW 137TH AVE, ARCHER, FL 32618-4047
(707) 927-6742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMT 2109
FL
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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