Organization
NURSE PRACTITIONER ON THE GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERILYN BOTWINIK APRN (CEO)
(813) 444-3201
Entity
Organization
Contact information
Practice address
16411 OAKMANOR DR, TAMPA, FL 33624-1234
(813) 444-3201
(813) 436-5294
Mailing address
13014 N DALE MABRY HWY STE 186, TAMPA, FL 33618-2808
(813) 444-3201
(813) 436-5294
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
04/06/2026
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