# DEVANICASPECIALTYCARE

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

## Provider details

- **NPI number:** 1689908063
- **Authorized official:** MR. ALBERTO DAVID MENDEZ JR. 011170 (OWNER)
- **Authorized official phone:** (813) 727-1611

## Contact information

- **Practice address:** 7513 FRAGANCIA CT, TAMPA, FL 33615-2418
- **Practice address phone:** (813) 727-1611
- **Practice address fax:** (813) 901-8888
- **Mailing address:** 7513 FRAGANCIA CT, TAMPA, FL 33615-2418
- **Mailing address phone:** (813) 727-1611
- **Mailing address fax:** (813) 901-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 230468 | FL | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 10/01/2009