Therapy Center Of Tampa LLC
General Practice in Tampa, FL. Organization (NPI-2).
NPI number1043671852
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1043671852
- Entity type
- Organization (NPI-2)
- Legal business name
- Therapy Center Of Tampa LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2016
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
3434 W Columbus DrSuite 106
Tampa, FL 33607-1860
Phone 813-252-8446 · Fax 813-252-8453
Mailing address
3434 W Columbus DrSuite 106
Tampa, FL 33607-1860
Phone 813-252-8446 · Fax 813-252-8453
Authorized official
Ivette Ulloa
Owner
81332528446
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