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Organization
MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC
Active
Organization
MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNAMYS MIRALLES CARDET (OWNER)
(786) 503-4750
Entity
Organization
Contact information
Practice address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 450-1052
Mailing address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 450-1052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
03/02/2022
Last updated
09/14/2023
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