Organization
REDTAG-19, LLC
Active
Other names
Red Tag-19 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATA SHINTRE MD (CEO/FOUNDER)
(954) 482-3740
Entity
Organization
Contact information
Practice address
8765 WATERCREST CIR E, PARKLAND, FL 33076-2853
(954) 482-3740
(719) 245-1341
Mailing address
8765 WATERCREST CIR E, PARKLAND, FL 33076-2853
(954) 482-3740
(719) 245-1341
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/11/2020
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