MEDICARE: PERSON TO PERSON CLINICAL SERVICES

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1730778747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSON TO PERSON CLINICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 221
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33575-0221
Country	:	US
Telephone Number	:	813-541-9144
Fax Number	:

Provider Business Practice Location Address
First Line	:	5946 FROND WAY
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-2647
Country	:	US
Telephone Number	:	813-928-8538
Fax Number	:	813-315-7172

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DR. ORIANT PERSON
Credential	:	DNP, APRN, PMHNP-BC
Telephone Number	:	813-541-9144

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	04/09/2021

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