MYRTLE RIDGE HEALTHCARE CENTER, LLC

LUTZ, FL
NPI1376170225
Entity TypeOrganization
Authorized ContactJAVIER GUTIERREZ
Executive Officer
813-997-9543
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
MYRTLE RIDGE HEALTHCARE CENTER, LLC
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548-3008
Phone number: 813-909-7102
Mailing Address
MYRTLE RIDGE HEALTHCARE CENTER, LLC
1539 DALE MABRY HWY STE 102
LUTZ, FL 33548-3008
Phone number: