Individual
MS. MICHELINE LYNCEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 N BOULEVARD, TAMPA, FL 33602-1207
(813) 221-5114
(813) 221-4744
Mailing address
2907 N BOULEVARD, TAMPA, FL 33602-1207
(813) 221-5114
(813) 221-4744
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
678233796
FL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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