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NPI Code Detail

MEDICARE: PCHG SPECIALTY SERVICES

MEDICARE: PCHG SPECIALTY 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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1831023654
Entity Type Code : Organization
Provider Name (Legal Business Name) : PCHG SPECIALTY SERVICES
Provider Business Mailing Address
First Line : PO BOX 232
Second Line :
City : DADE CITY
State : FL
Zip : 33526-0232
Country : US
Telephone Number : 352-518-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5957 ROWAN RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4531
Country : US
Telephone Number : 352-518-2000
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOSEPH RESNICK
Credential :
Telephone Number : 352-518-2000
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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