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Organization
MENDING HEARTS PRIMARY CARE LLC
Active
Organization
MENDING HEARTS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BAILEY NP (OWNER)
(570) 236-2113
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 8298, ST PETERSBURG, FL 33702-4305
(570) 236-2111
Mailing address
7901 4TH ST N STE 8298, ST PETERSBURG, FL 33702-4305
(570) 236-2111
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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