Organization
PASCO COUNTY BOARD OF COUNTY COMMISSIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MARIANO (CHAIRMAN)
(800) 847-8949
Entity
Organization
Contact information
Practice address
8600 GALEN WILSON BLVD, PORT RICHEY, FL 34668-5973
(727) 834-3340
(727) 834-3326
Mailing address
37918 MERIDIAN AVE, DADE CITY, FL 33525-3822
(352) 521-4111
(352) 521-4105
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6711278
—
FL
Enumeration date
02/26/2014
Last updated
02/26/2014
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