Organization
FAMILYCARE OF WESLEY CHAPEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA C ROSEQUIST (ADMINISTRATOR)
(813) 948-3838
Entity
Organization
Contact information
Practice address
5251 VILLAGE MARKET, WESLEY CHAPEL, FL 33544
(813) 991-6000
(813) 973-0605
Mailing address
1942 HIGHLAND OAKS BLVD, STE A, LUTZ, FL 33559
(813) 948-3838
(813) 949-0629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02510
MEDICARE
FL
01
—
53682
MEDICARE
FL
Enumeration date
07/16/2007
Last updated
07/16/2007
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