House of Medelice

NPI #1811631377 in Trinity, Florida

Provider Information

NPI Number
1811631377
Entity Type
Organization
Organization Name
House of Medelice
Primary Specialty
Physical Therapist
Enumeration Date
Apr 21, 2022
Last Updated
Apr 21, 2022

Practice Location

Address
10720 STATE ROAD 54 STE 102
State
Florida
ZIP Code
34655-2264
Phone
(813) 765-6186

Authorized Official

Name
ADRIENNE DEQUARTO
Title
OWNER
Phone
(813) 765-6186

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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