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NPI Code Detail

MEDICARE: ANTOINETTE DANRIDGE

MEDICARE: ANTOINETTE DANRIDGE
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
1171M00000XCase Manager/Care CoordinatorFL

General Provider Information

NPI Number : 1447664867
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE DANRIDGE
Provider Business Mailing Address
First Line : 3388 MISSION BAY BLVD APT 178
Second Line :
City : ORLANDO
State : FL
Zip : 32817-5102
Country : US
Telephone Number : 270-847-5187
Fax Number :
Provider Business Practice Location Address
First Line : 3388 MISSION BAY BLVD APT 178
Second Line :
City : ORLANDO
State : FL
Zip : 32817-5102
Country : US
Telephone Number : 270-847-5187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2014
Last Update Date : 06/13/2014

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Directions to “ ANTOINETTE DANRIDGE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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