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Organization
TRINITY PACIFIC 5, LLC
Active
Organization
TRINITY PACIFIC 5, LLC
Active
Other names
Providence Home Care of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCELWEE (COO / PARTNER / ADMINSTRATOR)
(727) 295-9711
Entity
Organization
Contact information
Practice address
28051 US HIGHWAY 19 N STE 107, CLEARWATER, FL 33761-2642
(727) 295-9711
(727) 815-8040
Mailing address
740 4TH ST N # 240, SAINT PETERSBURG, FL 33701-2322
(727) 295-9711
(727) 815-8040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992887
FL
Other
Enumeration date
12/05/2012
Last updated
03/16/2021
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