Organization
SPECIALIZED CARE INITIATIVE PLLC
Active
Organization
SPECIALIZED CARE INITIATIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WACKSMAN (AUTHORIZED OFFICIAL)
(855) 232-0644
Entity
Organization
Contact information
Practice address
8348 LITTLE RD STE 149, NEW PORT RICHEY, FL 34654-4919
(855) 232-0644
Mailing address
8348 LITTLE ROAD, STE 149, NEW PORT RICHEY, FL 34654-4919
(855) 232-0644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/08/2026
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