Organization
SHILO LLC
Active
Parent organization
SHILO LLC
Other names
TAMPA SUBOXONE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHILO LLC
Authorized official
STEVE O BANJOKO (CFO)
(813) 341-4000
Entity
Organization
Contact information
Practice address
10549 N FLORIDA AVE STE I, TAMPA, FL 33612-6707
(813) 220-1400
Mailing address
PO BOX 17175, TAMPA, FL 33682-7175
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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