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Organization
ANGELS OF LIFE MENTAL HEALTH LLC
Active
Organization
ANGELS OF LIFE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY SOCARRAS MARQUEZ (PRESIDENT)
(786) 792-4414
Entity
Organization
Contact information
Practice address
1913 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(786) 792-4414
Mailing address
1913 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(786) 792-4414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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