Organization
OPTION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA GARCIA LEYVA MD (PRESIDENT)
(813) 246-5760
Entity
Organization
Contact information
Practice address
5811 S MACDILL AVE, TAMPA, FL 33611-4450
(727) 823-8366
(727) 593-2917
Mailing address
211 4TH AVE N, ST PETERSBURG, FL 33701-2911
(727) 823-8366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
1041C0700X
Clinical Social Worker
—
FL
2084P0800X
Psychiatry Physician
—
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274116400
—
FL
Enumeration date
08/19/2006
Last updated
08/21/2013
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