Organization
CRADLING HANDS PEDIATRIC CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN V. SUTHERLAND RN (PRESIDENT)
(352) 620-0700
Entity
Organization
Contact information
Practice address
2319 SE 58TH AVENUE, OCALA, FL 34480
(352) 620-0700
(352) 620-2136
Mailing address
14495 SE 80TH AVENUE, SUMMERFIELD, FL 34491
(352) 670-0700
(352) 620-2136
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60080991
CERTIFICATE #345
FL
Enumeration date
12/09/2009
Last updated
12/09/2009
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