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1467236877
BLACKSHEEP MEDICINE LLC
SANFORD, FL
NPI
1467236877
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Entity Type
Organization
Authorized Contact
WHITNEY CHARISMA
Owner / Provider
407-900-1394
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
BLACKSHEEP MEDICINE LLC
1120 LEXINGTON GREEN LN STE A
SANFORD, FL 32771-1022
Phone number: 407-900-1394
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Mailing Address
BLACKSHEEP MEDICINE LLC
PO BOX 522691
LONGWOOD, FL 32752-2691
Phone number: 386-402-1892
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