Individual
MRS. CAROL D TZIMENATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 IXORIA AVE, FORT PIERCE, FL 34982-6250
(772) 468-3910
(773) 468-3979
Mailing address
404 IXORIA AVE, FORT PIERCE, FL 34982-6250
(772) 468-3910
(773) 468-3979
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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