Organization
CORAL REEF ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WETMORE (ADMISSIONS/OWNER)
(727) 999-1011
Entity
Organization
Contact information
Practice address
4180 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1113
(727) 999-1011
Mailing address
6800 GULFPORT BLVD S, STE. 201-346, S PASADENA, FL 33707-2163
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9360
FL
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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