Organization
PINK WILDLIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANETTE A SHERLOCK (OWNER)
(727) 807-7033
Entity
Organization
Contact information
Practice address
5130 MAIN ST STE 3, NEW PORT RICHEY, FL 34652-2105
(727) 807-7033
Mailing address
5130 MAIN ST STE 3, NEW PORT RICHEY, FL 34652-2105
(727) 807-7033
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
JB265723
FL
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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