Organization Active NPI

Tender Care Medical Services of North Florida Inc.

  • Medically Fragile Infants and Children Day Care
  • Mary Esther, FL
National Provider Identifier
1891380416
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
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

Updated by the provider on Mar 5, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.