Organization
ROLLING TIDES RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL HARDWICK (OWNER)
(727) 328-4567
Entity
Organization
Contact information
Practice address
620 N FLORIDA AVE, TARPON SPRINGS, FL 34689-2109
(727) 328-4567
Mailing address
620 N FLORIDA AVE, TARPON SPRINGS, FL 34689-2109
(727) 328-4567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
04/19/2024
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