Individual
MRS. MARY CATHERINE BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
379 EDGE AVE, VALPARAISO, FL 32580-1033
(850) 833-4125
(850) 833-4177
Mailing address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN373341
FL
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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