Individual
MARIO MCTIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7320 E FLETCHER AVE, TAMPA, FL 33637-0916
(813) 813-1591
Mailing address
7320 E FLETCHER AVE, TAMPA, FL 33637-0916
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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