Organization
NURSEKEEPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY RENEE COOPER NURSE (OWNER)
(813) 802-3389
Entity
Organization
Contact information
Practice address
6808 CROWN LAKE DR, GIBSONTON, FL 33534-3916
(813) 802-3389
Mailing address
6808 CROWN LAKE DR, GIBSONTON, FL 33534-3916
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
FL
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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