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Organization

HILLSBOROUGH PACE LLC

Active
Other names
BoldAge PACE Tampa Bay Metro
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CZERMAK (CAO)
(855) 801-2653
Entity
Organization

Contact information

Practice address
9912 LITTLE RD, NEW PORT RICHEY, FL 34654-3419
(855) 801-2653
Mailing address
9912 LITTLE RD, NEW PORT RICHEY, FL 34654-3419
(855) 801-2653

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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