Organization
PSL OPERATING FLORIDA, LLC
Active
Other names
Summit at New Port Richey
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE WHITE (CFO)
(206) 354-9893
Entity
Organization
Contact information
Practice address
5539 CHARLES ST, NEW PORT RICHEY, FL 34652-3705
(727) 848-4459
Mailing address
5539 CHARLES STREET, NEW PORT RICHEY, FL 34652
(727) 848-4459
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5421
AHCA
FL
Enumeration date
02/06/2012
Last updated
02/06/2012
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