Individual
DEMETRICE DANYAL KIRKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
36162 JOSEPH BLAKE ST, ZEPHYRHILLS, FL 33541-8237
(813) 619-2914
Mailing address
36162 JOSEPH BLAKE ST, ZEPHYRHILLS, FL 33541-8237
(813) 619-2914
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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