Organization
PHARMA-VILLE INC
Active
Organization
PHARMA-VILLE INC
Active
Other names
Yoda Compassionate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINERVA MENS (VICE PRESIDENT)
(813) 605-0732
Entity
Organization
Contact information
Practice address
14857 N DALE MBRY HWY, TAMPA, FL 33618-2027
(813) 605-0732
Mailing address
14857 N DALE MBRY HWY, TAMPA, FL 33618-2027
(813) 605-0732
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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