Organization
PCHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELAINE RAWLINGS (CEO)
(813) 812-4161
Entity
Organization
Contact information
Practice address
5660 W CYPRESS ST STE G, TAMPA, FL 33607-1777
(317) 245-7482
Mailing address
PO BOX 20547, TAMPA, FL 33622-0547
(813) 812-4161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q051562
—
TN
Enumeration date
02/09/2018
Last updated
03/12/2024
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