Organization
A KID'S PLACE OF TAMPA BAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRADFORD GREGORY (CEO)
(813) 381-3839
Entity
Organization
Contact information
Practice address
1715 LITHIA PINECREST RD, BRANDON, FL 33511-6723
(813) 381-3839
(813) 381-3840
Mailing address
1715 LITHIA PINECREST RD, BRANDON, FL 33511-6723
(813) 381-3839
(813) 381-3840
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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