Individual
ANGELA MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 E 11TH AVE, TAMPA, FL 33605-4225
(813) 850-1890
(813) 515-5982
Mailing address
3101 E 11TH AVE, TAMPA, FL 33605-4225
(813) 965-7415
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
2657367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1872883
MURILLOS HOME HEALTH CARE LLC
FL
Enumeration date
11/29/2017
Last updated
06/16/2018
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