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Individual

REGINA SOWARDS-FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
1060 PELICAN BAY DR, DAYTONA BEACH, FL 32119-9700
(386) 206-8061
(386) 868-1978
Mailing address
PO BOX 12158, DAYTONA BEACH, FL 32120-2158
(386) 868-1992
(386) 868-1978

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102702700
FL
05
756724300
FL
Enumeration date
05/17/2007
Last updated
01/24/2024
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