Organization
ADVANCED PRACTICE SKILLS WORKSHOP LLC
Active
Other names
Expanded Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA R EVANS APRN (CO-OWNER)
(404) 370-2158
Entity
Organization
Contact information
Practice address
2927 PEARSON JAMES PLACE, LUTZ, FL 33559
(813) 428-5295
Mailing address
PO BOX 47475, TAMPA, FL 33646-0113
(404) 370-2158
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/22/2024
Last updated
01/02/2025
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