Provider Demographics
NPI:1255207643
Name:TENDER CARE MEDICAL SERVICES OF GAINESVILLE, INC.
Entity type:Organization
Organization Name:TENDER CARE MEDICAL SERVICES OF GAINESVILLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZUCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-683-6831
Mailing Address - Street 1:PO BOX 5159
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611-5159
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2025 SW 75TH ST STE 30
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3467
Practice Address - Country:US
Practice Address - Phone:352-683-6831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation