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3825 Henderson Blvd Suite 405 Tampa FL 33629-5037 | |
| (727) 452-9527 | |
| (813) 489-8924 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3825 Henderson Blvd, Tampa, Florida |
| Authorized Official Name and Position | Cynthia Wright (OWNER) |
| Authorized Official Contact | 7274529527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13936 106th Ave Largo FL 33774-4543 Ph: (727) 452-9527 | 3825 Henderson Blvd Suite 405 Tampa FL 33629-5037 Ph: (727) 452-9527 |
| NPI Number | 1760811723 |
|---|---|
| Provider Enumeration Date | 11/09/2013 |
| Last Update Date | 11/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760811723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW11441 (Florida) | Primary |
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