Organization
TENDER CARE MEDICAL SERVICES OF ST. JOHNS COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS MIDDLETON (ADMINISTRATOR)
(904) 217-7648
Entity
Organization
Contact information
Practice address
910 S WINTERHAWK DR, SUITE 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Mailing address
910 S WINTERHAWK DR, SUITE 101, ST AUGUSTINE, FL 32086-3870
(904) 217-7648
(352) 666-3232
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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