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Organization

ABA OF TAMPA BAY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID J SHAW M.S. (PRESIDENT)
(813) 571-8010
Entity
Organization

Contact information

Practice address
3817 CLOVERHILL CT, BRANDON, FL 33511-7937
(813) 571-8010
(813) 571-8010
Mailing address
3817 CLOVERHILL CT, BRANDON, FL 33511-7937
(813) 571-8010
(813) 571-8010

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/09/2010
Last updated
02/09/2010
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