# EMBRACE PEDIATRIC HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598420762
- **Authorized official:** JON PAUL MARTIN (ADMIN)
- **Authorized official phone:** (813) 355-7810

## Contact information

- **Practice address:** 2031 4TH ST N STE 3, ST PETERSBURG, FL 33704-4365
- **Practice address phone:** (813) 355-7810
- **Mailing address:** 2031 4TH ST N STE 3, ST PETERSBURG, FL 33704-4365
- **Mailing address phone:** (813) 355-7810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 11/04/2021