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Organization

BONGRACE VENTURES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON MIRABELLA MIRABELLA (OWNER, MANAGING DIRECTOR)
(813) 772-4509
Entity
Organization

Contact information

Practice address
1218 MILLENNIUM PKWY STE 2-10, BRANDON, FL 33511-3895
(813) 772-4509
Mailing address
1218 MILLENNIUM PKWY STE 2-10, BRANDON, FL 33511-3895
(813) 772-4509

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
01/20/2026
Last updated
01/20/2026
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