BLACKSHEEP MEDICINE LLC

SANFORD, FL
NPI1467236877
Entity TypeOrganization
Authorized ContactWHITNEY CHARISMA
Owner / Provider
407-900-1394
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-08-24
Last Update Date2023-08-24
Business Address
BLACKSHEEP MEDICINE LLC
1120 LEXINGTON GREEN LN STE A
SANFORD, FL 32771-1022
Phone number: 407-900-1394
Mailing Address
BLACKSHEEP MEDICINE LLC
PO BOX 522691
LONGWOOD, FL 32752-2691
Phone number: 386-402-1892
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