Organization
ADVOCACY SUPPORT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY PAYNE (OWNER)
(813) 210-6834
Entity
Organization
Contact information
Practice address
5485 TABB AVE, SPRING HILL, FL 34609-1307
(813) 210-6834
Mailing address
5485 TABB AVE, SPRING HILL, FL 34609-1307
(813) 210-6834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109435600
—
FL
Enumeration date
03/18/2022
Last updated
03/18/2022
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