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General NPI Number Information
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NPI Number | 1760896278
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Entity Type | Organization
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Legal Business Name | FLORRY CREATIVE CARE CORP
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1404 HOLLOMAN ROAD
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City | PLANT CITY
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State | FL
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Zip | 33567
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Country | US
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Telephone | 813-704-6918
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Fax | 866-240-5666
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Provider Business Mailing Address
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Address Line | P.O. BOX 5636
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City | PLANT CITY
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State | FL
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Zip | 33563
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Country | US
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Telephone | 813-704-6918
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Fax | 813-441-7555
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHERRY TWIGGS
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Credential | ADMINISTRATOR
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Telephone | 813-704-6918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 30211664
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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