Organization
TAILORED HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M LANCASTER APRN (OWNER)
(904) 259-5929
Entity
Organization
Contact information
Practice address
32 S 5TH ST, MACCLENNY, FL 32063-2302
(904) 259-5929
Mailing address
32 S 5TH ST, MACCLENNY, FL 32063-2302
(904) 259-5929
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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