Organization
TRELAINE HOUSE OF LOVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BERTHELOT (OWNER)
(727) 742-4924
Entity
Organization
Contact information
Practice address
2230 TRELAINE DR S, ST PETERSBURG, FL 33712-3249
(727) 742-4924
Mailing address
2230 TRELAINE DR S, ST PETERSBURG, FL 33712-3249
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692374701
—
FL
05
—
692374796
—
FL
05
—
692374798
—
FL
Enumeration date
08/28/2012
Last updated
07/21/2022
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