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Organization
AGNITUS LLC
Active
Organization
AGNITUS LLC
Active
Other names
Agnitus Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARY LOPEZ SLP-CCC (CLINICAL DIRECTOR)
(813) 431-1153
Entity
Organization
Contact information
Practice address
1153 HELMSDALE DR, WESLEY CHAPEL, FL 33543-3914
(813) 309-9398
(813) 333-4240
Mailing address
16350 BRUCE B DOWNS BLVD, SUITE 46124, TAMPA, FL 33646-9001
(813) 309-9398
(813) 333-4240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SA2364
FL
Other
Enumeration date
05/19/2015
Last updated
03/23/2016
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