Organization
EPILEPSY SERVICES OF WEST CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN GRANT (EXECUTIVE DIRECTOR)
(813) 870-3414
Entity
Organization
Contact information
Practice address
4618 N ARMENIA AVE, TAMPA, FL 33603-2706
(813) 870-3414
(831) 870-1321
Mailing address
4618 N ARMENIA AVE, TAMPA, FL 33603-2706
(813) 870-3414
(831) 870-1321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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