| Share Of Florida, Llc | |
|
3118 Gulf To Bay Blvd Ste 226a Clearwater FL 33759-4553 | |
| (727) 755-3018 | |
| Not Available |
| Full Name | Share Of Florida, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3118 Gulf To Bay Blvd Ste 226a, Clearwater, Florida |
| Authorized Official Name and Position | Amanda Spadafora (COO) |
| Authorized Official Contact | 7277553018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Share Of Florida, Llc 140 Meadowlark Dr Safety Harbor FL 34695-2020 Ph: (727) 755-3018 | Share Of Florida, Llc 3118 Gulf To Bay Blvd Ste 226a Clearwater FL 33759-4553 Ph: (727) 755-3018 |
| NPI Number | 1912668922 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 02/06/2022 |
| Certification Date | 02/06/2022 |
| Medicare PECOS PAC ID | 5890189682 |
|---|---|
| Medicare Enrollment ID | O20220221000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912668922 | NPI | - | NPPES |
| Provider Name | Dolly Ferraiuolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992369441 PECOS PAC ID: 6507270956 Enrollment ID: I20210127000892 |
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