NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1447295720
GEANEY
KERRIE
FIELDS
 
3012 N US HIGHWAY 301 STE 100
TAMPA
FL
336192208
1881130870
LONG
LAURA
DEREE
 
3012 N US HIGHWAY 301
TAMPA
FL
336192274
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