MEDICARE: MRS. CHRISTINE N FLURY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	SW6397	FL

General Provider Information

NPI Number	:	1700075934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE N FLURY

Provider Business Mailing Address
First Line	:	6119 FLORENZIA TER
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-7239
Country	:	US
Telephone Number	:	850-894-4874
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 W PENSACOLA ST
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-2888
Country	:	US
Telephone Number	:	850-575-4388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	10/24/2007

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