House Of Medelice | |
10720 State Road 54 Ste 102, Trinity, FL 34655-2264 | |
(813) 765-6186 | |
Not Available |
Full Name | House Of Medelice |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 10720 State Road 54 Ste 102, Trinity, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811631377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Brittany Snowden |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679211387 PECOS PAC ID: 7719363027 Enrollment ID: I20221010001445 |
Mailing Address | Practice Location Address |
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House Of Medelice 19404 Haskell Pl, Land O Lakes, FL 34638-7720 Ph: () - | House Of Medelice 10720 State Road 54 Ste 102, Trinity, FL 34655-2264 Ph: (813) 765-6186 |
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