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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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