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Organization
HOUSE OF MEDELICE
Active
Organization
HOUSE OF MEDELICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE DEQUARTO (OWNER)
(813) 765-6186
Entity
Organization
Contact information
Practice address
10720 STATE ROAD 54 STE 102, TRINITY, FL 34655-2264
(813) 765-6186
Mailing address
19404 HASKELL PL, LAND O LAKES, FL 34638-7720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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