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Organization
ON-SITE SPECIALTY CARE, LLC
Active
Organization
ON-SITE SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORIA PETILLO CRNP (PARTNER)
(610) 613-9614
Entity
Organization
Contact information
Practice address
3001 E EVESHAM RD, ON-SITE SPECIALTY CARE-CRNP, VOORHEES, NJ 08043-9547
(610) 613-9614
(253) 663-7737
Mailing address
15 EAST NEW CASTLE ROAD, OCEAN CITY, NJ 08226-4725
(609) 602-2908
(856) 231-9699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018016410002
—
PA
05
—
8186308
—
NJ
Enumeration date
05/22/2006
Last updated
11/09/2007
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