Organization
1 STOP MEDICAL SHOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORA LYNN RYDER APRN (OWNER)
(727) 816-9736
Entity
Organization
Contact information
Practice address
5036 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4904
(727) 816-9736
(217) 216-5092
Mailing address
5036 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4904
(727) 816-9736
(217) 216-5092
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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