Family Tree Medical Care Pa

NPI 1710174990 - Clinic/Center - 261QP2300X

NPI Details
NPI 1710174990
Enumeration Date 10/01/2007
Last Updated 10/02/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CATHERINE CATHERINE
Position PRESIDENT
Phone (813) 991-7320
Fax (813) 991-7920
Practice Location
2312 CRESTOVER LN
SUITE 102
WESLEY CHAPEL FL, 33544-6790, US
Phone (813) 991-7320
Fax (813) 991-7920
Business Location
2312 CRESTOVER LN
SUITE 102
WESLEY CHAPEL FL, 33544-6790, US
Phone (813) 991-7320
Fax (813) 991-7920
Toxanomy
Taxonomy Code 261QP2300X
License State Florida
License Number ME96193
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According to our database, Family Tree Medical Care Pa NPI is 1710174990, taxonomy code is 261QP2300X and license number is ME96193, license state is located at Florida. Family Tree Medical Care Pa physically located at 2312 Crestover Ln, Wesley Chapel FL, 33544-6790. NPI Number 1033115704 has the healthcare provider type.

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1710174990 NPI number is provided on an as is basis without warranty of any kind. 1710174990 is maintained by the National Plan & Provider Enumeration System. The contents of Family Tree Medical Care Pa are for informational purposes only.