ELM TREE LODGE

Preferred Provider Organization

Active Organization
NPI: 1881025005

Practice Address

6205 VIOLA LANE
New Port Richey, FL 34653

Phone: (727) 845-0609

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes AL8589 (FL)

Frequently Asked Questions

NPI 1881025005 is the National Provider Identifier for ELM TREE LODGE, a Preferred Provider Organization provider located in New Port Richey, FL. This NPI was enumerated on December 13, 2013.

Quick Facts

NPI
1881025005
Type
Organization
Enumerated
Dec 13, 2013
Last Updated
Dec 13, 2013

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