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Organization

PEEPING MOMS ULTRASOUND BOUTIQUE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STORMY GOODWIN RT(S), RVT, RDMS (OWNER)
(813) 647-9099
Entity
Organization

Contact information

Practice address
6320 US 301 S, RIVERVIEW, FL 33578-3829
(813) 647-9099
Mailing address
6320 US 301 S, RIVERVIEW, FL 33578-3829
(813) 647-9099

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary

Other

Enumeration date
05/03/2022
Last updated
05/04/2022
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