| Major Impact Support Services, Inc | |
|
8875 Hidden River Pkwy Tampa FL 33637-1035 | |
| (239) 226-4357 | |
| (239) 226-4352 |
| Full Name | Major Impact Support Services, Inc |
|---|---|
| Speciality | Case Management |
| Location | 8875 Hidden River Pkwy, Tampa, Florida |
| Authorized Official Name and Position | Clayton Lambert Major (CO-OWNER) |
| Authorized Official Contact | 2398228401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Major Impact Support Services, Inc 1960 Velasco St Ste J2 Fort Myers FL 33916-2761 Ph: (239) 822-8472 | Major Impact Support Services, Inc 8875 Hidden River Pkwy Tampa FL 33637-1035 Ph: (239) 226-4357 |
| NPI Number | 1952967887 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 05/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952967887 | NPI | - | NPPES |
| 003799000 | Medicaid | FL |
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