DCREASEQUEEN, INC.


Address: 11634 Bristol Chase Dr, Tampa, FL 33626-3300
Phone: 8132157024

DCREASEQUEEN, INC. (NPI# 1689091050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689091050
Entity Type Organization
Organization Name DCREASEQUEEN, INC.
Practice Address 11634 Bristol Chase Dr
Tampa
FL 33626-3300
Practice Telephone 8132157024
Mailing Telephone 8132157024
Enumeration Date 2014-03-24
Last Update Date 2014-03-24
Authorized Official Name MRS. DENISE ELAINE MERDICH (PRESIDENT)
Authorized Official Telephone 8132157024
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
3257532 FL Ambulatory Health Care Facilities

Office Location

Street Address 11634 BRISTOL CHASE DR
City TAMPA
State FL
Zip Code 33626-3300

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City TAMPA
Zip Code 33626

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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