Organization
CADIEUX PREMIUM HCS FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA GIROLAMO (OWNER/ADMINISTRATOR)
(863) 874-0238
Entity
Organization
Contact information
Practice address
1661 WILLIAMSBURG SQ, LAKELAND, FL 33803-4279
(863) 874-0238
Mailing address
1661 WILLIAMSBURG SQ, LAKELAND, FL 33803-4279
(863) 874-0238
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236463
AGENCY FOR HEALTH CARE ADMINISTRATION LICENSURE
FL
Enumeration date
01/23/2020
Last updated
01/23/2020
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