| Redtag-19, Llc | |
|
8765 Watercrest Cir E Parkland FL 33076-2853 | |
| (954) 482-3740 | |
| (719) 245-1341 |
| Full Name | Redtag-19, Llc |
|---|---|
| Speciality | Clinic/center - Emergency Care |
| Location | 8765 Watercrest Cir E, Parkland, Florida |
| Authorized Official Name and Position | Lata Shintre (CEO/FOUNDER) |
| Authorized Official Contact | 9544823740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redtag-19, Llc 8765 Watercrest Cir E Parkland FL 33076-2853 Ph: (954) 482-3740 | Redtag-19, Llc 8765 Watercrest Cir E Parkland FL 33076-2853 Ph: (954) 482-3740 |
| NPI Number | 1942806260 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942806260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QE0002X | Clinic/center - Emergency Care | (* (Not Available)) | Primary |
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