Organization
S&R CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY D. NIX (OWNER)
(727) 550-6129
Entity
Organization
Contact information
Practice address
4201 4TH AVENUE SOUTH STREET, ST PETERSBURG, FL 33711
(727) 550-6129
Mailing address
4201 4TH AVE S, ST PETERSBURG, FL 33711-1503
(727) 550-6129
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
FL
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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