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1376170225
MYRTLE RIDGE HEALTHCARE CENTER, LLC
LUTZ, FL
NPI
1376170225
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Entity Type
Organization
Authorized Contact
JAVIER GUTIERREZ
Executive Officer
813-997-9543
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
MYRTLE RIDGE HEALTHCARE CENTER, LLC
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548-3008
Phone number: 813-909-7102
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Mailing Address
MYRTLE RIDGE HEALTHCARE CENTER, LLC
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548-3008
Phone number:
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