Individual
MRS. JAN STAUTZ-HAMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 WOODRUFF AVE, CLEARWATER, FL 33756-4661
(727) 447-8875
Mailing address
1015 WOODRUFF AVE, CLEARWATER, FL 33756-4661
(727) 447-8875
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
PTA 1768
FL
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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