| |
210a S Macdill Ave, Tampa, FL 33609-3131 | |
(813) 475-4665 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 210a S Macdill Ave, Tampa, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164257754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8103 Bay Dr, Tampa, FL 33635-9732 Ph: (813) 475-4665 | 210a S Macdill Ave, Tampa, FL 33609-3131 Ph: (813) 475-4665 |