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MR. SHAHIED PRIMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT/L

Contact information

Practice address
255 N CASTLEFORD CT, LONGWOOD, FL 32779-4582
(321) 439-6444
Mailing address
255 N CASTLEFORD CT, LONGWOOD, FL 32779-4582
(321) 439-6444

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT4258
FL

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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