# GLADES CONVENIENT CARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glades Convenient Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932453982
- **Authorized official:** MRS. HARRIETT LOUISE RICE PA-C (PRESIDENT)
- **Authorized official phone:** (863) 946-1000

## Contact information

- **Practice address:** 51 AVENUE J., SUITE 101, MOORE HAVEN, FL 33471-1113
- **Practice address phone:** (863) 946-1000
- **Practice address fax:** (863) 946-1006
- **Mailing address:** PO BOX 1113, 51 AVENUE J, SUITE 101, MOORE HAVEN, FL 33471-1113
- **Mailing address phone:** (863) 946-1000
- **Mailing address fax:** (863) 946-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS57165 | FL | Yes |
| 363A00000X | Physician Assistant | 9101638 | FL | — |
| 363A00000X | Physician Assistant | 9104703 | FL | — |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 03/28/2013