# ATLANTIC COAST PHLEBOTOMY INSTRUCTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Coast Phlebotomy Instruction LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730772823
- **Authorized official:** MRS. TAMMY MARIE CAROLLO PHLEBOTOMIST (OWNER)
- **Authorized official phone:** (561) 929-1373

## Contact information

- **Practice address:** 814 COCHRAN DR, LAKE WORTH BEACH, FL 33461-5709
- **Practice address phone:** (561) 929-1373
- **Mailing address:** 814 COCHRAN DR, LAKE WORTH BEACH, FL 33461-5709
- **Mailing address phone:** (156) 192-9137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 02/19/2021