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Organization
TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
Active
Organization
TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS MIDDLETON (ADMINISTRATOR)
(904) 217-7648
Entity
Organization
Contact information
Practice address
910 S WINTERHAWK DR, SUITE 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Mailing address
910 S WINTERHAWK DR, SUITE 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/09/2012
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