Provider Information for 1477968204
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BRITTNEY MCCOY
Sex: Female
NPI: 1477968204
Last Updated: 2014-07-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477968204 | ||||||||
| Enumeration Date | 2014-07-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 14401 OLD CUTLER RD PALMETTO BAY, FL 33158-1722 United States Phone: 786-573-7010 | Fax: | ||||||||
| Primary Practice Address | 14401 OLD CUTLER RD PALMETTO BAY, FL 33158-1722 United States Phone: 786-573-7010 | Fax: | ||||||||
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