Provider Information for 1811635139
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Ms. SANDY FLORY
Sex: Female
NPI: 1811635139
Last Updated: 2024-04-23
Certification Date: 2024-04-23
Certification Date: 2024-04-23
Details
| Name | Value | ||||||||||||
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| NPI | 1811635139 | ||||||||||||
| Enumeration Date | 2022-05-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 115 NE 7TH AVE GAINESVILLE, FL 32601-4391 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 115 NE 7TH AVE GAINESVILLE, FL 32601-4391 United States Phone: 352-278-1781 | Fax: | ||||||||||||
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