| Memorial Medical Center Inc | |
|
8001 N Dale Mabry Hwy Ste 501 Tampa FL 33614-3265 | |
| (813) 915-5329 | |
| (813) 915-5236 |
| Full Name | Memorial Medical Center Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8001 N Dale Mabry Hwy Ste 501, Tampa, Florida |
| Authorized Official Name and Position | Mavys Huice (OWNER) |
| Authorized Official Contact | 8136054725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Center Inc 8001 N Dale Mabry Hwy Ste 501 Tampa FL 33614-3265 Ph: (813) 915-5329 | Memorial Medical Center Inc 8001 N Dale Mabry Hwy Ste 501 Tampa FL 33614-3265 Ph: (813) 915-5329 |
| NPI Number | 1285392985 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285392985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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