Active NPI
Tender Care Medical Services of North Florida Inc.
- Medically Fragile Infants and Children Day Care
- Mary Esther, FL
National Provider Identifier
1891380416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- TENDER CARE MEDICAL SERVICES OF NORTH FLORIDA INC.
- Practice address
- 5 Lane Dr
Mary Esther, FL 32569-1999 - Phone
- (352) 683-6895
- Fax
- (352) 666-3200
- NPI assigned
- Mar 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori A Mazzuco
- Title
- Billing Coordinator
- Phone
- (352) 398-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary |
Addresses
Primary practice location
5 Lane Dr
Mary Esther, FL 32569-1999
Mailing address
PO Box 5159
Spring Hill, FL 34611-5159
National Provider Directory
National Provider DirectoryLocations
5 Lane Dr
Mary Esther, FL 32569
Phone (352) 683-6895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614902400000",
"number": "1891380416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5159",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346115159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LANE DR",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691999",
"telephone_number": "352-683-6895",
"fax_number": "352-666-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER CARE MEDICAL SERVICES OF NORTH FLORIDA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A",
"authorized_official_last_name": "MAZZUCO",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "352-398-5185"
},
"taxonomies": [
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mary Esther, FL
- Suncoast Healthcare Professionals PLLC (HealthSource of Fort Walton Beach South)
- Sarah Lynn Swisher-Leatherman, D.C.
- Jenna Taliaferro
- Cecil Edwin Taylor, DC
- Kyle Aron Taylor, QASP-S
- The Discovery Tree Therapies, LLC
- Therapy by Melanie, LLC.
- Melanie Marie Thomas, MD
- Tracey L. Novak, Arnp, NP-C
- Hope D Traylor, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.