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Organization

CARE DELIVERY ALLIANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACY CHILDRESS MHA, CMPE (ADMINISTRATIVE DIRECTOR)
(352) 323-5665
Entity
Organization

Contact information

Practice address
701 N PALMETTO ST, SUITE F, LEESBURG, FL 34748-4493
(352) 323-5665
(352) 323-1092
Mailing address
701 N PALMETTO ST, SUITE F, LEESBURG, FL 34748-4493
(352) 323-5665
(352) 323-1092

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
FL

Other

Enumeration date
09/03/2015
Last updated
09/08/2015
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