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Organization
RENKU COLLECTIVE, INC
Active
Organization
RENKU COLLECTIVE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE RATLIFF (OWNER)
(727) 514-0451
Entity
Organization
Contact information
Practice address
11950 RUDDY RUN, ODESSA, FL 33556-4096
(727) 514-0451
Mailing address
13553 SR 54 # 133, ODESSA, FL 33556-3527
(727) 514-0451
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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