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Organization
TENDER CARE MEDICAL SERVICES OF ST JOHNS INC
Active
Organization
TENDER CARE MEDICAL SERVICES OF ST JOHNS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MAZZUCO (OWNER)
(352) 683-6831
Entity
Organization
Contact information
Practice address
6 SAINT JOHNS MEDICAL PK DR, ST AUGUSTINE, FL 32086-5298
(352) 683-6831
Mailing address
PO BOX 5159, SPRING HILL, FL 34611-5159
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
174400000X
Specialist
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
02/27/2010
Last updated
02/27/2010
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