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Organization
FLY ABOVE FUNDAMENTAL CARE INC
Active
Organization
FLY ABOVE FUNDAMENTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA DENISE TAYLOR (OWNER)
(725) 230-9102
Entity
Organization
Contact information
Practice address
1733 LAKE CHAPMAN DR UNIT 102, BRANDON, FL 33510-4127
(813) 997-3526
(844) 423-3234
Mailing address
1733 LAKE CHAPMAN DR UNIT 102, BRANDON, FL 33510-4127
(844) 423-3234
(844) 423-3234
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
01/13/2021
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