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Organization
UNITED CEREBRAL PALSY OF TAMPA BAY, INC
Active
Organization
UNITED CEREBRAL PALSY OF TAMPA BAY, INC
Active
Other names
Achieve Tampa Bay
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BROOKS (COO)
(813) 239-1179
Entity
Organization
Contact information
Practice address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 238-4605
Mailing address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 238-4605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04245
STAY/WELL/HEALTH AKA ATA
FL
01
—
204600
AMERIGROUP
FL
01
—
4448226
AETNA PPO
FL
01
—
6405222
UNITED HEALTH CARE
FL
01
—
900788
AETNA HMO
FL
01
—
X0025
BCBS
FL
Enumeration date
03/24/2006
Last updated
08/22/2020
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