Organization
MEMORIALTHERAPY CENTER,LLC
Active
Organization
MEMORIALTHERAPY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSMANY CUELLAR DUQUE (ADM)
(813) 872-7209
Entity
Organization
Contact information
Practice address
3430 W LAMBRIGHT ST, SUITE 104, TAMPA, FL 33614-4750
(813) 872-7209
(813) 872-7207
Mailing address
3430 W LAMBRIGHT ST, SUITE 104, TAMPA, FL 33614-4750
(813) 872-7209
(813) 872-7207
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MM25648
FL
Other
Enumeration date
09/03/2013
Last updated
06/08/2016
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