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Organization
HARTLEY HEALTH CARE SERVICES INC
Active
Organization
HARTLEY HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE K HARTLEY PT DPT (OWNER)
(727) 527-2100
Entity
Organization
Contact information
Practice address
431 SOUTHWEST BLVD N, SUITE, ST PETERSBURG, FL 33703-1399
(727) 498-5314
(727) 521-3710
Mailing address
5791 49TH ST N, ST PETERSBURG, FL 33709-2107
(727) 527-2100
(727) 521-3710
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
106969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106969
MEDICARE ID TYPE UNSPECIFIED
FL
Enumeration date
02/16/2011
Last updated
02/16/2011
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