Organization
CORE CARE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHRUV PATEL (PRESIDENT)
(772) 971-1850
Entity
Organization
Contact information
Practice address
111 2ND AVE NE STE 360, ST PETERSBURG, FL 33701-3580
(772) 971-1850
Mailing address
111 2ND AVE NE STE 360, ST PETERSBURG, FL 33701-3580
(772) 971-1850
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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