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Organization
WELL-BEING COMMUNITY CENTER, CORP.
Active
Organization
WELL-BEING COMMUNITY CENTER, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA DE LA ROSA (CEO)
(813) 769-9571
Entity
Organization
Contact information
Practice address
2706 W ST ISABEL ST, TAMPA, FL 33607-6382
(813) 769-9571
(813) 492-8843
Mailing address
2706 W ST ISABEL ST, TAMPA, FL 33607-6382
(813) 769-9571
(813) 492-8843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023311300
—
FL
05
—
101692100
—
FL
05
—
101692101
—
FL
05
—
105430400
—
FL
05
—
105482700
—
FL
05
—
105731200
—
FL
05
—
105731201
—
FL
Enumeration date
11/15/2017
Last updated
08/01/2022
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