Individual
TITILAYO M DIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11215 GOLD COMPASS ST, GIBSONTON, FL 33534-5698
(813) 546-3968
Mailing address
11215 GOLD COMPASS ST, GIBSONTON, FL 33534-5698
(813) 546-3968
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907026
FL
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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