Organization
MASSCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MILLER (COO)
(941) 544-2686
Entity
Organization
Contact information
Practice address
224 7TH AVE N, ST PETERSBURG, FL 33701-2404
(941) 544-2686
Mailing address
224 7TH AVE N, ST PETERSBURG, FL 33701-2404
(941) 544-2686
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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