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Organization

ZEN ORCHID MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA ANNE THOMAS-BOLDEN APRN (NURSE PRACTITIONER/EMPLOYEE)
(727) 471-6372
Entity
Organization

Contact information

Practice address
5800 49TH ST N # S-103, ST PETERSBURG, FL 33709-2146
(727) 471-6372
(727) 471-4956
Mailing address
5800 49TH ST N # S-103, ST PETERSBURG, FL 33709-2146
(727) 471-6372
(727) 471-4956

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
02/28/2022
Last updated
02/28/2022
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