GRACE CLINIC LLC

HOMOSASSA, FL
NPI1689083313
Entity TypeOrganization
Authorized ContactJOHN HESS
President
352-503-2078
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2014-08-06
Last Update Date2014-08-06
Business Address
GRACE CLINIC LLC
3542 S SUNCOAST BLVD
HOMOSASSA, FL 34448-2327
Phone number: 352-503-2078
Mailing Address
GRACE CLINIC LLC
PO BOX 292
CRYSTAL RIVER, FL 34423-0292
Phone number: 352-503-2078