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Organization
PARK PLACE THERAPY,LLC
Active
Organization
PARK PLACE THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LOPEZ (MANAGER)
(813) 735-3595
Entity
Organization
Contact information
Practice address
6802 N ARMENIA AVE STE A, TAMPA, FL 33604-5776
(813) 252-6810
(813) 252-6815
Mailing address
6802 N ARMENIA AVE STE A, TAMPA, FL 33604-5776
(813) 252-6810
(813) 252-6815
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA53981
FL
Other
Enumeration date
09/14/2009
Last updated
07/21/2022
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