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Organization

CARE ONE OF FLORIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STACIE S LAVIANO APRN (MANAGING MEMBER)
(352) 610-9905
Entity
Organization

Contact information

Practice address
12220 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 610-9905
(352) 610-9907
Mailing address
12220 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 610-9905
(352) 610-9907

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307544300
FL
05
307544301
FL
05
307544303
FL
Enumeration date
07/15/2006
Last updated
08/28/2025
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