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1972071801
C12 MEDICAL LLC
LARGO, FL
NPI
1972071801
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Entity Type
Organization
Authorized Contact
CHRISTIAN S CHILDERS
Ot
727-251-7782
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
C12 MEDICAL LLC
333 16TH AVE SE
LARGO, FL 33771-4407
Phone number: 727-251-7782
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Mailing Address
C12 MEDICAL LLC
8498 108TH WAY
SEMINOLE, FL 33772-4318
Phone number: 727-251-7782
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