Organization
PICC CENTRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L HEPP RN (MEMBER MANAGER)
(321) 231-9576
Entity
Organization
Contact information
Practice address
119 E WOODLAND DR, SANFORD, FL 32773-5853
(321) 231-9576
(407) 302-0449
Mailing address
119 E WOODLAND DR, SANFORD, FL 32773-5853
(321) 231-9576
(407) 302-0449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9222948
FL
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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