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100 S Ashley Dr Ste 600 Tampa FL 33602-5300 | |
| (813) 381-0595 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Home Health |
| Location | 100 S Ashley Dr Ste 600, Tampa, Florida |
| Authorized Official Name and Position | Rackaye J Simmons (CEO) |
| Authorized Official Contact | 8667518330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 S Ashley Dr Ste 600 Tampa FL 33602-5300 Ph: (866) 751-8330 | 100 S Ashley Dr Ste 600 Tampa FL 33602-5300 Ph: (813) 381-0595 |
| NPI Number | 1730759168 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 11/27/2021 |
| Certification Date | 11/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730759168 | NPI | - | NPPES |
| 01 | Medicaid | FL |
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