Organization
WILLA CARSON HEALTH RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE M. TYRELL RN, BSN (EXECUTIVE DIRECTOR)
(727) 467-9411
Entity
Organization
Contact information
Practice address
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3222
(727) 467-9411
(727) 467-2771
Mailing address
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3222
(727) 467-9411
(727) 467-2771
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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