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Organization

SUCCESS BY DESIGN OF PINELLAS COUNTY LLC

Active
Other names
Success by Design
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRI MORRISON RN (CEO)
(727) 647-8017
Entity
Organization

Contact information

Practice address
9095 BELCHER RD N, PINELLAS PARK, FL 33782-4423
(727) 548-0000
Mailing address
9095 BELCHER RD N, PINELLAS PARK, FL 33782-4423
(727) 647-8017

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376538314
OPTED OUT MEDICARE
Enumeration date
03/13/2019
Last updated
03/13/2019
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