Organization
ELITE PEDIATRIC HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA NICHOLS MCGREW APRN, NP-C (NURSE PRACTITIONER/CO-OWNER)
(251) 610-5615
Entity
Organization
Contact information
Practice address
673 S KINGS AVENUE, BRANDON, FL 33511
(251) 610-5615
Mailing address
19046 BRUCE B DOWNS BLVD # 1397, TAMPA, FL 33647
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
05/08/2021
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