Organization
GLKP LLC
Active
Other names
neil's group home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMAL PATEL RPH (OWNER)
(813) 300-7972
Entity
Organization
Contact information
Practice address
1222 W FLETCHER AVE, TAMPA, FL 33612-3364
(813) 300-7972
Mailing address
10875 CORY LAKE DR, TAMPA, FL 33647-2992
(813) 300-7972
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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