Compassionate Care Primary Service
Clinic/Center, Primary Care in Williston, FL. Organization (NPI-2).
NPI number1790453041
StatusActive
Last updated in NPPESFeb 20, 2023
Details
- NPI
- 1790453041
- Entity type
- Organization (NPI-2)
- Legal business name
- Compassionate Care Primary Service
- Organization subpart
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Feb 20, 2023
- Last updated
- Feb 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
18490 Ne 76th LnWilliston, FL 32696-3810
Phone 352-284-4095 · Fax 641-323-5203
Mailing address
18490 Ne 76th LnWilliston, FL 32696-3810
Phone 352-284-4095 · Fax 641-323-5203
Authorized official
Dironada Gross Strange
Nurse Practitioner
3522844095
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