Organization
CARE ONE OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE S LAVIANO APRN (MANAGING MEMBER)
(352) 432-0817
Entity
Organization
Contact information
Practice address
10435 US HIGHWAY 19, PORT RICHEY, FL 34668-3133
(727) 378-4477
(727) 378-7755
Mailing address
12220 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 432-0817
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307544303
—
FL
Enumeration date
08/20/2021
Last updated
08/20/2021
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