Healthcare Provider Details

I. General information

NPI: 1861643132
Provider Name (Legal Business Name): TENDER CARE MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 BEVERLY CT
SPRING HILL FL
34606-5326
US

IV. Provider business mailing address

PO BOX 5159
SPRING HILL FL
34611-5159
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-6831
  • Fax: 352-666-3200
Mailing address:
  • Phone: 352-683-6831
  • Fax: 352-666-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LORI MAZZUCO
Title or Position: ADMINISTRATOR
Credential:
Phone: 352-683-6831