MEDICARE: TENDER CARE CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1669430153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENDER CARE CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 5159
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34611-5159
Country	:	US
Telephone Number	:	352-754-1464
Fax Number	:	352-754-2494

Provider Business Practice Location Address
First Line	:	18824 COUNTY LINE RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34610-6132
Country	:	US
Telephone Number	:	352-754-1464
Fax Number	:	352-754-2494

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. PHILIP MAZZUCO
Credential	:
Telephone Number	:	352-754-1464

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/22/2020

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