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Organization

TREE OF LYFE CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBREA S BOSTIC (MANAGER)
(352) 973-0693
Entity
Organization

Contact information

Practice address
109 EDGE CT, GROVELAND, FL 34736-2520
(352) 973-0693
Mailing address
711 W MAIN ST # 1056, LEESBURG, FL 34748-5128
(352) 973-0693

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
174H00000X
Health Educator
246RP1900X
Phlebotomy Technician
251B00000X
Case Management Agency
261Q00000X
Clinic/Center
291U00000X
Clinical Medical Laboratory
293D00000X
Physiological Laboratory

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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