Organization
A & J COMPASSIONATE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN BANDOLA (OWNER)
(813) 898-3059
Entity
Organization
Contact information
Practice address
8319 42ND AVE N, ST PETERSBURG, FL 33709-3946
(813) 898-3059
Mailing address
1735 JEFFORDS ST, CLEARWATER, FL 33756-4560
(813) 898-3059
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101107200
—
FL
Enumeration date
02/03/2022
Last updated
03/18/2022
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