Organization
FAMILY SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL OTERO (PRESIDENT)
(813) 504-1087
Entity
Organization
Contact information
Practice address
12701 SADDLE CLUB CIR APT 203, TAMPA, FL 33635-9689
(813) 504-1087
Mailing address
12701 SADDLE CLUB CIR APT 203, TAMPA, FL 33635-9689
(813) 504-1087
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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