Individual
COURTNEY NICOLE MASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 6TH ST S, FAMILY CARE CENTER, ST. PETERSBURG, FL 33701
(727) 893-6116
(727) 553-7340
Mailing address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6116
(727) 553-7340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME145880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122985600
—
FL
01
—
NOIV3
BCBS
FL
Enumeration date
04/13/2018
Last updated
11/04/2024
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