Organization
AMEDICALZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIEL VALDES (OWNER)
(813) 850-2197
Entity
Organization
Contact information
Practice address
4707 140TH AVE N STE 309, CLEARWATER, FL 33762-3840
(813) 850-2197
Mailing address
4255 73RD AVE N STE F, PINELLAS PARK, FL 33781-4546
(813) 850-2197
(727) 289-1793
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
08/30/2021
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