Organization
GRACE COMMUNITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE GLENN (EXECUTIVE DIRECTOR)
(813) 930-5642
Entity
Organization
Contact information
Practice address
3222 N 34TH ST, TAMPA, FL 33605-2227
(813) 930-5642
(813) 374-4979
Mailing address
PO BOX 270114, TAMPA, FL 33688-0114
(813) 930-5642
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
06/22/2021
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