Individual
MRS. LUZ MARY HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100
Mailing address
16115 PEACH ORCHARD RD, BROOKSVILLE, FL 34614-2947
(352) 799-7064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19287
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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