CLINICAID WELL CENTER, LLC

TAMPA, FL
NPI1417252131
Entity TypeOrganization
Authorized ContactSERGIO CEBALLOS
Owner
813-874-2737
Organization Subpart ?No
Primary Taxonomy273Y00000X Rehabilitation Unit
(Licence: FL  HCC8834)
Enumeration Date2011-01-12
Last Update Date2011-01-12
Business Address
CLINICAID WELL CENTER, LLC
3619 HENDERSON BLVD
TAMPA, FL 33609-4501
Phone number: 813-874-2737
Mailing Address
CLINICAID WELL CENTER, LLC
3619 HENDERSON BLVD
TAMPA, FL 33609-4501
Phone number: 813-874-2737
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