Organization
HEALTHY SERVICES OF TAMPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS J HERRERA (PRESIDENT)
(813) 679-1523
Entity
Organization
Contact information
Practice address
2502 W DIANA ST STE 204, TAMPA, FL 33614-4202
(813) 932-9922
(813) 932-9911
Mailing address
2502 W DIANA ST, TAMPA, FL 33614-4202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010644300
—
FL
Enumeration date
10/01/2013
Last updated
03/17/2023
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