Provider Demographics
NPI:1730778747
Name:PERSON TO PERSON CLINICAL SERVICES
Entity type:Organization
Organization Name:PERSON TO PERSON CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:ORIANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:813-541-9144
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33575-0221
Mailing Address - Country:US
Mailing Address - Phone:813-541-9144
Mailing Address - Fax:
Practice Address - Street 1:5946 FROND WAY
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2647
Practice Address - Country:US
Practice Address - Phone:813-928-8538
Practice Address - Fax:813-315-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care