Robert Ponder Vereen

NPI #1174010755 in Thonotosassa, Florida

Provider Information

NPI Number
1174010755
Entity Type
Individual
Name
Robert Ponder Vereen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Apr 18, 2018
Last Updated
Apr 18, 2018

Practice Location

Address
10010 BENJAMIN SMITH DR
State
Florida
ZIP Code
33592-3367
Phone
(813) 986-9003

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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