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Organization
GULF COAST FAMILY WELLNESS LLC
Active
Organization
GULF COAST FAMILY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANDERSON APRN (OWNER/ AUTHORIZED OFFICIAL)
(727) 480-0387
Entity
Organization
Contact information
Practice address
7855 38TH AVE N STE 200, ST PETERSBURG, FL 33710-1134
(727) 480-0387
Mailing address
PO BOX 7843, CLEARWATER, FL 33758-7843
(727) 480-0387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
05/04/2021
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