Organization · NPI-2

Abc Community Health, LLC

Clinic/Center · Tampa, FL

NPI number1609596642
StatusActive
Last updated in NPPESAug 30, 2022

Details

NPI
1609596642
Entity type
Organization (NPI-2)
Legal business name
Abc Community Health, LLC
Organization subpart
No
Enumeration date
Aug 30, 2022
Certification date
Aug 30, 2022
Last updated
Aug 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

2512 W Virginia Ave Ste B
Tampa, FL 33607-6326

Phone 813-252-9240

Mailing address

2512 W Virginia Ave Ste B
Tampa, FL 33607-6326

Phone 813-252-9240

Authorized official

Hany Garbey
Owner
8132529240

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