NPI | 1437810199 |
---|---|
Doing Business As | TAMPA SUBOXONE CLINIC |
Entity Type | Organization |
Authorized Contact | STEVE O BANJOKO CFO 813-341-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-05 |