Organization
INTERIM HEALTHCARE GULF COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE SPELLISSY (CFO/ADMINISTRATOR)
(727) 441-9585
Entity
Organization
Contact information
Practice address
2511 W COLUMBUS DR, SUITE A, TAMPA, FL 33607-2211
(813) 877-9444
(813) 872-8150
Mailing address
1940 DREW ST, SUITE A, CLEARWATER, FL 33765-3000
(727) 441-9585
(727) 461-4535
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20584096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650969000
—
FL
Enumeration date
07/04/2006
Last updated
08/19/2016
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