Derral Bomar
Derral Bomar is a Case Manager/Care Coordinator in Lake City, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
439 SW Michigan StLake City, FL 32025-0440
Phone: (352) 374-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1912483751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 16, 2018 |
| Last updated in NPPES | July 16, 2018 |
| Mailing address | 4300 Sw 13th St, Gainesville, FL 32608-4006 |
Other providers in Lake City
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Elsie Louise Alex-Tanner
439 SW Michigan St, Lake City, FL 32025-0440 · (386) 487-0800
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Jay Alan Baron
439 SW Michigan St, Lake City, FL 32025-0440 · (386) 487-0800
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Manette Cheshareck
439 SW Michigan St, Lake City, FL 32025-0440 · (352) 374-5600
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Amber Michelle Clark
439 SW Michigan St, Lake City, FL 32025-0440 · (386) 487-0800
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Jessica Cunningham
439 SW Michigan St, Lake City, FL 32025-0440 · (386) 487-0800
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Amanda Nicole Daniels
439 SW Michigan St, Lake City, FL 32025-0440 · (352) 374-5600