Individual
ELMITA FORCILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTHCAREPROVIDER
Contact information
Practice address
1712 24TH ST E, PALMETTO, FL 34221-6452
(941) 224-2004
Mailing address
1712 24TH ST E, PALMETTO, FL 34221-6452
(941) 224-2004
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
09/30/2016
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