Organization
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TOSTI (VP FINANCE)
(813) 880-0320
Entity
Organization
Contact information
Practice address
125 EXECUTIVE CIR, DAYTONA BEACH, FL 32114-1180
(386) 253-6868
Mailing address
8509 BENJAMIN RD, STE D, TAMPA, FL 33634-1224
(813) 880-0320
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
60080968
FL
Other
Enumeration date
10/06/2016
Last updated
04/28/2021
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