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Organization

PHRC ORLANDO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH MAYWALT (BILLING MANAGER)
(813) 462-2588
Entity
Organization

Contact information

Practice address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 462-2588
Mailing address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 462-2588

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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