# ON-SITE SPECIALTY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053365973
- **Authorized official:** FLORIA PETILLO CRNP (PARTNER)
- **Authorized official phone:** (610) 613-9614

## Contact information

- **Practice address:** 3001 E EVESHAM RD, ON-SITE SPECIALTY CARE-CRNP, VOORHEES, NJ 08043-9547
- **Practice address phone:** (610) 613-9614
- **Practice address fax:** (253) 663-7737
- **Mailing address:** 15 EAST NEW CASTLE ROAD, OCEAN CITY, NJ 08226-4725
- **Mailing address phone:** (609) 602-2908
- **Mailing address fax:** (856) 231-9699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0018016410002 | — | PA |
| 05 | — | 8186308 | — | NJ |