| Dpt Group Support Llc | |
|
2641 Shirleys Way Apt 204 Leesburg FL 34748-3040 | |
| (352) 552-7971 | |
| Not Available |
| Full Name | Dpt Group Support Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 2641 Shirleys Way Apt 204, Leesburg, Florida |
| Authorized Official Name and Position | Martina Wright (OWNER) |
| Authorized Official Contact | 3525527971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dpt Group Support Llc 2641 Shirleys Way Apt 204 Leesburg FL 34748-3040 Ph: (352) 552-7971 | Dpt Group Support Llc 2641 Shirleys Way Apt 204 Leesburg FL 34748-3040 Ph: (352) 552-7971 |
| NPI Number | 1295100527 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295100527 | NPI | - | NPPES |
| 014968000 | Medicaid | FL |
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