Organization · NPI-2

Aba Path LLC

Clinic/Center · Tampa, FL

NPI number1164257754
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1164257754
Entity type
Organization (NPI-2)
Legal business name
Aba Path LLC
Organization subpart
Yes
Enumeration date
Sep 4, 2024
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
235Z00000X Speech-Language Pathologist,––

Other names

  • Aba Path (Doing Business As)

Practice location

210a S Macdill Ave
Tampa, FL 33609-3131

Phone 813-475-4665

Mailing address

8103 Bay Dr
Tampa, FL 33635-9732

Phone 813-475-4665

Authorized official

Erin Hamilton
Owner
8134754665

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