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Organization
LIFECHOICES WOMEN'S CARE, INC.
Active
Organization
LIFECHOICES WOMEN'S CARE, INC.
Active
Other names
LifeChoices Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ACEVEDO (CLINIC DIRECTOR)
(813) 948-7734
Entity
Organization
Contact information
Practice address
18560 N DALE MABRY HWY, LUTZ, FL 33548-7900
(813) 948-7734
(813) 769-9752
Mailing address
18560 N DALE MABRY HWY, LUTZ, FL 33548-7900
(813) 948-7734
(813) 769-9752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107332100
—
FL
Enumeration date
08/23/2016
Last updated
12/02/2024
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