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Organization

TRICOCHE INTEGRATED HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN LEIGH LAURELLA APRN (AM)
(321) 802-4521
Entity
Organization

Contact information

Practice address
1855 W HIBISCUS BLVD, MELBOURNE, FL 32901-2622
(321) 802-4521
Mailing address
1855 W HIBISCUS BLVD, MELBOURNE, FL 32901-2622
(321) 802-4521

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN9303071
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/23/2020
Last updated
10/10/2025
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