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NPI Code Detail

MEDICARE: MS. FRANCES C MYERS-ROUTT LCSW

MEDICARE: MS. FRANCES C MYERS-ROUTT 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 WorkerSW 4008FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Z6622OTHERFLBCBS

General Provider Information

NPI Number : 1235205626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FRANCES C MYERS-ROUTT LCSW
Provider Business Mailing Address
First Line : 12012 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-5631
Country : US
Telephone Number : 813-443-2181
Fax Number : 813-443-5279
Provider Business Practice Location Address
First Line : 12012 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-5631
Country : US
Telephone Number : 813-443-2181
Fax Number : 813-443-5279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 08/30/2011

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