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Organization
RECTAL RELIEF CENTER
Active
Organization
RECTAL RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERI SHANNON GRISSO ARNP (PRESIDENT)
(561) 842-5050
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD STE 122, SUITE 122 MEDICAL MALL ONE, LOXAHATCHEE, FL 33470-9231
(561) 842-5050
(561) 793-9989
Mailing address
13005 SOUTHERN BLVD STE 122, SUITE 122 MEDICAL MALL ONE, LOXAHATCHEE, FL 33470-9231
(561) 842-5050
(561) 793-9989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3357122
FL
Other
Enumeration date
07/08/2008
Last updated
11/04/2011
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