Organization
GUARDIAN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-MARIE HARRIS (OWNER)
(813) 335-9923
Entity
Organization
Contact information
Practice address
3803 SHORESIDE CIR, TAMPA, FL 33624-2310
(813) 335-9923
Mailing address
3803 SHORESIDE CIR, TAMPA, FL 33624-2310
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612262
—
FL
Enumeration date
01/14/2016
Last updated
01/14/2016
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