Organization · NPI-2

Access Healthcare Services INC

Nurse Practitioner · St Petersburg, FL

NPI number1841739737
StatusActive
Last updated in NPPESFeb 13, 2017

Details

NPI
1841739737
Entity type
Organization (NPI-2)
Legal business name
Access Healthcare Services INC
Organization subpart
No
Enumeration date
Feb 13, 2017
Last updated
Feb 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner–FLYes

Practice location

10974 54th Ave N
St Petersburg, FL 33708-2943

Phone 727-888-3811

Mailing address

10974 54th Ave N
St Petersburg, FL 33708-2943

Authorized official

Joseph Dominic Willis
Pres
7274556591

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