| Goodwill Industries-suncoast, Inc. | |
|
6800 North Dale Mabry Highway Suite 130 Tampa FL 33614 | |
| (813) 877-3234 | |
| (813) 877-4253 |
| Full Name | Goodwill Industries-suncoast, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6800 North Dale Mabry Highway, Tampa, Florida |
| Authorized Official Name and Position | Paul M. Norris (DIRECTOR) |
| Authorized Official Contact | 7275231512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwill Industries-suncoast, Inc. 10596 Gandy Boulevard St. Petersburg FL 33702 Ph: (727) 523-1512 | Goodwill Industries-suncoast, Inc. 6800 North Dale Mabry Highway Suite 130 Tampa FL 33614 Ph: (813) 877-3234 |
| NPI Number | 1134453699 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134453699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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