Individual
MRS. CAROLYN GENEVIEVE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4416 PORPOISE DR, TAMPA, FL 33617-8316
(813) 988-8408
Mailing address
4416 PORPOISE DR, 4416 PORPOISE DR., TAMPA, FL 33617-8316
(813) 988-8408
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
299
FL
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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