Individual
MARISE BOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2934 W CHESTNUT ST, TAMPA, FL 33607-3210
(813) 263-3500
(813) 874-0240
Mailing address
2934 W CHESTNUT ST, TAMPA, FL 33607-3210
(813) 263-3500
(813) 874-0240
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12737
FL
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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