Coproviders

NPI #1801288527 in Live Oak, Florida

Provider Information

NPI Number: 1801288527
Entity Type: Organization
Organization Name: Coproviders
Primary Specialty: Community Health Worker
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 5987 112TH PL
City: Live Oak
State: Florida
ZIP Code: 32060-7270
Phone: (386) 697-1156

Authorized Official

Name: CHERYL A. OSGOOD
Title: OWNER
Phone: (386) 697-1156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Community Health Worker	172V00000X	Primary

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