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Organization

POLK COUNTY BOARD OF COUNTY COMMISSIONERS

Active
Other names
Employee Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE MULLONEY (HEALTH MANAGER)
(863) 534-5266
Entity
Organization

Contact information

Practice address
2010 E GEORGIA ST, BARTOW, FL 33830-6709
(863) 534-5280
(863) 534-5278
Mailing address
2010 E GEORGIA ST, BARTOW, FL 33830-6709
(863) 534-5280
(863) 534-5278

Taxonomy

Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN3222322
FL

Other

Enumeration date
09/20/2006
Last updated
08/22/2020
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