Organization
EMERALD COAST GLAMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE WYCHE APRN (CEO/OWNER)
(813) 387-1474
Entity
Organization
Contact information
Practice address
2318 CYPRESS CV, WESLEY CHAPEL, FL 33544-6786
(813) 367-1474
Mailing address
2318 CYPRESS CV, WESLEY CHAPEL, FL 33544-6786
(813) 367-1474
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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