Tiny Little Jewels, Llc | |
323 Vine Cliff St Ruskin FL 33570-4935 | |
(813) 609-2655 | |
Not Available |
Full Name | Tiny Little Jewels, Llc |
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Speciality | Social Worker - Clinical |
Location | 323 Vine Cliff St, Ruskin, Florida |
Authorized Official Name and Position | Tanya Johnson-gilchrist (OWNER) |
Authorized Official Contact | 8136092655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tiny Little Jewels, Llc Po Box 6823 Tampa FL 33608-0823 Ph: (813) 609-2655 | Tiny Little Jewels, Llc 323 Vine Cliff St Ruskin FL 33570-4935 Ph: (813) 609-2655 |
NPI Number | 1669831723 |
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Provider Enumeration Date | 02/17/2016 |
Last Update Date | 02/17/2016 |
Identifier | Type | State | Issuer |
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1669831723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | SW 12868 (Florida) | Primary |
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