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Organization

GLADES CONVENIENT CARE CENTER INC.

Active
Other names
Glades Convenient Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HARRIETT LOUISE RICE PA-C (PRESIDENT)
(863) 946-1000
Entity
Organization

Contact information

Practice address
51 AVENUE J., SUITE 101, MOORE HAVEN, FL 33471-1113
(863) 946-1000
(863) 946-1006
Mailing address
PO BOX 1113, 51 AVENUE J, SUITE 101, MOORE HAVEN, FL 33471-1113
(863) 946-1000
(863) 946-1006

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS57165
FL
363A00000X
Physician Assistant
9101638
FL
363A00000X
Physician Assistant
9104703
FL

Other

Enumeration date
10/30/2012
Last updated
03/28/2013
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