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Incare Winterhaven LLC

Emergency Medicine in Winter Haven, FL. Organization (NPI-2).

NPI number1164039665
StatusActive
Last updated in NPPESFeb 17, 2025

Details

NPI
1164039665
Entity type
Organization (NPI-2)
Legal business name
Incare Winterhaven LLC
Organization subpart
No
Enumeration date
Sep 29, 2020
Certification date
Feb 17, 2025
Last updated
Feb 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

603 6th St Nw
Winter Haven, FL 33881-4010

Phone 239-444-8639

Mailing address

603 6th St Nw
Winter Haven, FL 33881-4010

Other practice locations

1213 N Franklin St
Tampa, FL 33602-3313

Phone 813-553-3330 · Fax 813-741-3331

Authorized official

Teshy John
Owner
2394448639

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