Individual
ANA ISABAL MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7403 THOMAS WAY, TAMPA, FL 33619-5950
(813) 766-6434
(813) 620-3914
Mailing address
7403 THOMAS WAY, TAMPA, FL 33619-5950
(813) 766-6434
(813) 620-3914
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683740996
—
FL
Enumeration date
02/01/2016
Last updated
02/01/2016
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