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NPI Code Detail

MEDICARE: MRS. CAROLE A. BEZMEN-GOLDSTEIN MSW,LCSW

MEDICARE: MRS. CAROLE A. BEZMEN-GOLDSTEIN MSW,LCSW
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
11041C0700XClinical Social WorkerSW13536FL

General Provider Information

NPI Number : 1871784132
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLE A. BEZMEN-GOLDSTEIN MSW,LCSW
Provider Business Mailing Address
First Line : 704 E GRAND HWY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-3708
Country : US
Telephone Number : 352-346-0753
Fax Number : 352-708-5311
Provider Business Practice Location Address
First Line : 704 E GRAND HWY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-3708
Country : US
Telephone Number : 352-642-0753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 03/19/2019

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