Treat & Release Ctr Inc | |
3102 W Waters Ave Ste 103 Tampa FL 33614-2875 | |
(813) 374-4498 | |
(813) 374-4792 |
Full Name | Treat & Release Ctr Inc |
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Speciality | Clinic/Center |
Location | 3102 W Waters Ave Ste 103, Tampa, Florida |
Authorized Official Name and Position | Yomiris Rodriguez Orta (OWNER) |
Authorized Official Contact | 8133744498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Treat & Release Ctr Inc 3709 W Hamilton Ave Ste 4 Tampa FL 33614-4015 Ph: (813) 374-4498 | Treat & Release Ctr Inc 3102 W Waters Ave Ste 103 Tampa FL 33614-2875 Ph: (813) 374-4498 |
NPI Number | 1922651314 |
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Provider Enumeration Date | 07/24/2019 |
Last Update Date | 08/12/2022 |
Medicare PECOS PAC ID | 6204207012 |
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Medicare Enrollment ID | O20230113000872 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922651314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Mercedes De La Caridad Sarroca |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235580929 PECOS PAC ID: 8224314265 Enrollment ID: I20170406000070 |
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