# AMOEDO'S ALF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356640213
- **Authorized official:** HUGO A AMOEDO (OWNER)
- **Authorized official phone:** (813) 781-1777

## Contact information

- **Practice address:** 3415 W IVY ST, TAMPA, FL 33607-1502
- **Practice address phone:** (813) 842-3453
- **Mailing address:** 3415 W IVY ST, 3415 W IVY ST, TAMPA, FL 33607-1502
- **Mailing address phone:** (813) 842-3453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | AL 11149 | FL | Yes |

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 03/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AL 11149 | AGENCY FOR HEALTH CARE ADMINISTRATION | FL |