GREEN LAKE VILLAGE INC

TAMPA, FL
NPI1790504694
Entity TypeOrganization
Authorized ContactRICARDO RODRIQUEZ FIGUEROA
Owner
813-280-1199
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
GREEN LAKE VILLAGE INC
1107 E JACKSON ST STE 208
TAMPA, FL 33602-4161
Phone number: 813-280-1199
Mailing Address
GREEN LAKE VILLAGE INC
1107 E JACKSON ST STE 208
TAMPA, FL 33602-4161
Phone number: 813-280-1199