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Organization
GLADES CONVENIENT CARE CENTER INC.
Active
Organization
GLADES CONVENIENT CARE CENTER INC.
Active
Other names
Glades Convenient Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HARRIETT LOUISE RICE PA-C (PRESIDENT)
(863) 946-1000
Entity
Organization
Contact information
Practice address
51 AVENUE J., SUITE 101, MOORE HAVEN, FL 33471-1113
(863) 946-1000
(863) 946-1006
Mailing address
PO BOX 1113, 51 AVENUE J, SUITE 101, MOORE HAVEN, FL 33471-1113
(863) 946-1000
(863) 946-1006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS57165
FL
363A00000X
Physician Assistant
9101638
FL
363A00000X
Physician Assistant
9104703
FL
Other
Enumeration date
10/30/2012
Last updated
03/28/2013
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