C12 MEDICAL LLC

LARGO, FL
NPI1972071801
Entity TypeOrganization
Authorized ContactCHRISTIAN S CHILDERS
Ot
727-251-7782
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
C12 MEDICAL LLC
333 16TH AVE SE
LARGO, FL 33771-4407
Phone number: 727-251-7782
Mailing Address
C12 MEDICAL LLC
8498 108TH WAY
SEMINOLE, FL 33772-4318
Phone number: 727-251-7782