# SUPPORT ASSOCIATES OF TAMPA BAY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053711598
- **Authorized official:** LYNDA R DEBENEDET (CO OWNER)
- **Authorized official phone:** (813) 908-6773

## Contact information

- **Practice address:** 16112 N FLORIDA AVE, LUTZ, FL 33549-6129
- **Practice address phone:** (813) 908-6773
- **Practice address fax:** (813) 908-0423
- **Mailing address:** 16112 N FLORIDA AVE, LUTZ, FL 33549-6129
- **Mailing address phone:** (813) 908-6773
- **Mailing address fax:** (813) 908-0423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 09/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002353400 | — | FL |
| 05 | — | 678755096 | — | FL |