Individual
BIANCA ASTRA NEMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4685 CHUMUCKLA HWY, PACE, FL 32571-1007
(850) 736-8412
Mailing address
6289 WINDWOOD DR, PENSACOLA, FL 32504-6644
(850) 737-9767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104588417
INSURANCE
—
05
—
1104588417
—
FL
Enumeration date
03/11/2022
Last updated
03/11/2022
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