Organization
GOODWILL INDUSTRIES-SUNCOAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M. NORRIS (DIRECTOR)
(727) 523-1512
Entity
Organization
Contact information
Practice address
6800 NORTH DALE MABRY HIGHWAY, SUITE 130, TAMPA, FL 33614
(813) 877-3234
(813) 877-4253
Mailing address
10596 GANDY BOULEVARD, ST. PETERSBURG, FL 33702
(727) 523-1512
(727) 578-0214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
09/30/2009
Last updated
10/01/2009
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