Family Care Center Of Brooksville, Pa

NPI 1720359045 - Clinic/Center - 261QP2300X

NPI Details
NPI 1720359045
Enumeration Date 01/18/2012
Last Updated 07/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JERRY R JERRY
Position OWNER
Phone (352) 596-4482
Fax (352) 596-2241
Practice Location
14540 CORTEZ BLVD
SUITE 118
BROOKSVILLE FL, 34613-6056, US
Phone (352) 596-4482
Fax (352) 596-2241
Business Location
14540 CORTEZ BLVD
SUITE 118
BROOKSVILLE FL, 34613-6056, US
Phone (352) 596-4482
Fax (352) 596-2241
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number OS0007621
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According to our database, Family Care Center Of Brooksville, Pa NPI is 1720359045, taxonomy code is 261QP2300X and license number is OS0007621, license state is located at Florida. Family Care Center Of Brooksville, Pa physically located at 14540 Cortez Blvd, Brooksville FL, 34613-6056. NPI Number 1033115704 has the healthcare provider type.

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1720359045 NPI number is provided on an as is basis without warranty of any kind. 1720359045 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Center Of Brooksville, Pa are for informational purposes only.