Organization
WILLA CARSON HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE TYRELL RN (EXECUTIVE DIRECTOR)
(727) 467-9411
Entity
Organization
Contact information
Practice address
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3222
(727) 467-9411
(727) 467-2771
Mailing address
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755-3222
(727) 467-9411
(727) 467-2771
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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