Individual
PATRICIA SKOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12532 VALENCIA DR, CLERMONT, FL 34711-8840
(352) 516-0972
Mailing address
12532 VALENCIA DR, CLERMONT, FL 34711-8840
(352) 516-0972
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 43879
FL
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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