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Organization

WILLA CARSON HEALTH AND WELLNESS CENTER

Active
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Organization

WILLA CARSON HEALTH AND WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNIE TYRELL RN (EXECUTIVE DIRECTOR)
(727) 467-9411
Entity
Organization

Contact information

Practice address
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3222
(727) 467-9411
(727) 467-2771
Mailing address
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3222
(727) 467-9411
(727) 467-2771

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
About Stedi
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  • EDI platform