Organization
TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS MIDDLETON (ADMINISTRATOR)
(904) 217-7648
Entity
Organization
Contact information
Practice address
910 S WINTERHAWK DR, SUITE 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Mailing address
910 S WINTERHAWK DR, SUITE 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/09/2012
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