Healthcare Provider Details

I. General information

NPI: 1508016387
Provider Name (Legal Business Name): TENDER CARE MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2008
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 TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number60080988
License Number StateFL

VIII. Authorized Official

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