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NPI Code Detail

MEDICARE: FLORRIE BELL MINGO

MEDICARE: FLORRIE BELL MINGO
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 Coordinator

General Provider Information

NPI Number : 1871736611
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORRIE BELL MINGO
Provider Business Mailing Address
First Line : 945 GRAND ST
Second Line :
City : STARKE
State : FL
Zip : 32091-1821
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 945 GRAND ST
Second Line :
City : STARKE
State : FL
Zip : 32091-1821
Country : US
Telephone Number : 904-964-8382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2009
Last Update Date : 04/09/2009

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Directions to “ FLORRIE BELL MINGO ” 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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