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Organization
TAMPA BAY CRYO
Active
Organization
TAMPA BAY CRYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA GALLACE (OWNER)
(914) 435-3333
Entity
Organization
Contact information
Practice address
6287 BAHIA DEL MAR CIR APT 405, ST PETERSBURG, FL 33715-1067
(914) 435-3333
Mailing address
6287 BAHIA DEL MAR CIR APT 405, ST PETERSBURG, FL 33715-1067
(914) 435-3333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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