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Organization
AMOEDO'S ALF
Active
Organization
AMOEDO'S ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO A AMOEDO (OWNER)
(813) 781-1777
Entity
Organization
Contact information
Practice address
3415 W IVY ST, TAMPA, FL 33607-1502
(813) 842-3453
Mailing address
3415 W IVY ST, 3415 W IVY ST, TAMPA, FL 33607-1502
(813) 842-3453
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AL 11149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL 11149
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
03/17/2011
Last updated
03/17/2011
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