| Tampa Healthy Aging, Inc. | |
|
15417 N Dale Mabry Hwy Tampa FL 33618-1822 | |
| (813) 963-7500 | |
| Not Available |
| Full Name | Tampa Healthy Aging, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 15417 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Anthony Granell (OWNER) |
| Authorized Official Contact | 8139637500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Healthy Aging, Inc. 15417 N Dale Mabry Hwy Tampa FL 33618-1822 Ph: (813) 963-7500 | Tampa Healthy Aging, Inc. 15417 N Dale Mabry Hwy Tampa FL 33618-1822 Ph: (813) 963-7500 |
| NPI Number | 1881002533 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881002533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS 5939 (Florida) | Primary |
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