Organization
SPLENDIDLY MADE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARIE CHANDLER (OWNER)
(352) 254-4484
Entity
Organization
Contact information
Practice address
2590 W C 48, BUSHNELL, FL 33513-8386
(352) 254-4484
Mailing address
PO BOX 333, BUSHNELL, FL 33513-0020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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