Healthcare Provider Details
I. General information
NPI: 1669430153
Provider Name (Legal Business Name): TENDER CARE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18824 COUNTY LINE RD
SPRING HILL FL
34610-6132
US
IV. Provider business mailing address
PO BOX 5159
SPRING HILL FL
34611-5159
US
V. Phone/Fax
- Phone: 352-754-1464
- Fax: 352-754-2494
- Phone: 352-754-1464
- Fax: 352-754-2494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PHILIP
MAZZUCO
Title or Position: PRESIDENT/CEO
Credential:
Phone: 352-754-1464