Organization
BBI NOVACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES UBANI MD (LAB DIRECTOR)
(813) 419-0975
Entity
Organization
Contact information
Practice address
1503 S US HIGHWAY 301 STE 93, TAMPA, FL 33619-5126
(813) 419-0975
Mailing address
1503 S US HIGHWAY 301 STE 93, TAMPA, FL 33619-5126
(813) 419-0975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10D2263528
—
FL
Enumeration date
10/24/2022
Last updated
10/24/2022
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