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NPI Code Detail

MEDICARE: GINA R TOWER

MEDICARE:   GINA R TOWER
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
1235Z00000XSpeech-Language PathologistSZ4277FL

General Provider Information

NPI Number : 1881887396
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA R TOWER
Provider Business Mailing Address
First Line : 150 AVENUE B SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3037
Country : US
Telephone Number : 863-294-1429
Fax Number : 863-298-0299
Provider Business Practice Location Address
First Line : 150 AVENUE B SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-3037
Country : US
Telephone Number : 863-294-1429
Fax Number : 863-298-0299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 08/20/2007

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Directions to “ GINA R TOWER ” Practice Location

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