Organization
HEALTHY DRYP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRIE CARTER PA (PHYSICIAN ASSISTANT)
(305) 528-1056
Entity
Organization
Contact information
Practice address
7021 BLOSSOM AVE, TAMPA, FL 33614-3134
(305) 528-1056
Mailing address
7021 BLOSSOM AVE, TAMPA, FL 33614-3134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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