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Organization
DESROCHES MEDICAL CLINIC LLC
Active
Organization
DESROCHES MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE DESROCHES (APRN)
(321) 208-2390
Entity
Organization
Contact information
Practice address
10071 MONTAGUE ST, TAMPA, FL 33626-3362
(321) 208-2390
Mailing address
10071 MONTAGUE ST, TAMPA, FL 33626-1855
(321) 208-2390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
03/07/2023
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