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NPI Code Detail

MEDICARE: MARGE BREWSTER CENTER

MEDICARE: MARGE BREWSTER CENTER
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
1284300000XSpecial Hospital171M00000XFL

General Provider Information

NPI Number : 1881874840
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARGE BREWSTER CENTER
Provider Business Mailing Address
First Line : 5825 US 27 N
Second Line :
City : SEBRING
State : FL
Zip : 33870-1216
Country : US
Telephone Number : 863-385-5179
Fax Number : 863-385-4678
Provider Business Practice Location Address
First Line : 5825 US 27 N
Second Line :
City : SEBRING
State : FL
Zip : 33870-1216
Country : US
Telephone Number : 863-385-5179
Fax Number : 863-385-4678
Authorized Official
Title or Position : CASE MANAGER
Name : WILLIAM ANTHONY JOHN
Credential :
Telephone Number : 863-385-5179
Provider Enumeration Date : 11/07/2007
Last Update Date : 11/07/2007

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Directions to “MARGE BREWSTER CENTER ” Practice Location

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