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Organization
YOUR CARE CLINICS LLC
Active
Organization
YOUR CARE CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS FRIEDRICH (CHIEF OPERATING OFFICER)
(727) 588-7665
Entity
Organization
Contact information
Practice address
10225 ULMERTON RD, SUITE 9A, LARGO, FL 33771-3538
(727) 588-7600
(727) 230-9194
Mailing address
10225 ULMERTON RD STE 9A, LARGO, FL 33771-3526
(727) 588-7665
(727) 230-9194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2523919
AETNA-HMO
FL
05
—
277731201
—
FL
01
—
39469
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
54473357
COLORADO MEDICAID
FL
01
—
6806670
CIGNA
FL
01
—
7566598
AETNA
FL
01
—
J804
AVMED
FL
Enumeration date
05/22/2008
Last updated
01/08/2019
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