Organization
KISMETS & REBELS, LLC
Active
Parent organization
KISMET KARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KISMET KARE
Authorized official
KESHELL ALVIES (OWNER)
(813) 460-7767
Entity
Organization
Contact information
Practice address
9609 SIMEON DR, LAND O LAKES, FL 34638-6923
(813) 460-7767
Mailing address
9609 SIMEON DR, LAND O LAKES, FL 34638-6923
(813) 460-7767
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023385500
—
FL
Enumeration date
06/13/2018
Last updated
06/13/2018
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