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Organization
BRAVE KIDZ LLC
Active
Organization
BRAVE KIDZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMPSON (MANAGING PARTNER)
(619) 602-4356
Entity
Organization
Contact information
Practice address
20310 TROUT CREEK DR, TAMPA, FL 33647-3728
(813) 708-7919
Mailing address
20310 TROUT CREEK DR, TAMPA, FL 33647-3728
(813) 708-7919
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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