Phca Administration,llc

NPI #1487187571 in Oldsmar, Florida

Provider Information

NPI Number: 1487187571
Entity Type: Organization
Organization Name: Phca Administration,llc
Subpart: Yes (part of a larger organization)
Parent Organization: NOVELLE HEALTH, LLC
Primary Specialty: Pediatrics
Enumeration Date: Apr 6, 2017
Last Updated: Apr 6, 2017

Practice Location

Address: 4033 TAMPA RD
Address 2: SUITE 101
City: Oldsmar
State: Florida
ZIP Code: 34677-3224
Phone: (813) 854-2003

Authorized Official

Name: DEBRA S GONZALEZ
Title: PHCA ADMINISTRATION, LLC, C.O.O.
Phone: (813) 854-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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