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Organization
LISSMART REHABILITATION OF TAMPA,INC
Active
Organization
LISSMART REHABILITATION OF TAMPA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISVET MARTINEZ (V.PRESIDENT)
(813) 888-7177
Entity
Organization
Contact information
Practice address
8130 W WATERS AVE, 130, TAMPA, FL 33615-1821
(813) 888-7177
(813) 888-7110
Mailing address
8130 W WATERS AVE, 130, TAMPA, FL 33615-1821
(813) 888-7177
(813) 888-7110
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC7865
FL
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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