Individual
SHIRLEY HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 AVANTI CIR, NORTH PORT, FL 34287-1842
(941) 423-0129
Mailing address
3435 AVANTI CIR, NORTH PORT, FL 34287-1842
(941) 423-0129
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140421100
—
FL
Enumeration date
06/18/2013
Last updated
06/18/2013
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