Organization
MEDSOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KRAFT (CLIENT SPECIALIST)
(800) 440-1909
Entity
Organization
Contact information
Practice address
33 N GARDEN AVE STE 800, CLEARWATER, FL 33755-6614
(800) 440-1909
(866) 206-2900
Mailing address
33 N GARDEN AVE STE 800, CLEARWATER, FL 33755-6614
(800) 440-1909
(866) 206-2900
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
1980
FL
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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