Organization
AGAPE EAST TAMPA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO XAVIER QUINTANA MD (OWNER)
(813) 459-2002
Entity
Organization
Contact information
Practice address
2123 W DR MARTIN LUTHER KING JR BLVD STE 203, TAMPA, FL 33607-6545
(813) 459-2002
Mailing address
PO BOX 661597, MIAMI SPRINGS, FL 33266-1597
(813) 459-2002
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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