Organization
NATURAL LAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIDIS VALLE SR. (CEO/PRESIDENT)
(813) 405-5107
Entity
Organization
Contact information
Practice address
8888 CYPRESS MANOR DR, TAMPA, FL 33647-3767
(813) 405-5107
(813) 405-5107
Mailing address
8888 CYPRESS MANOR DR, TAMPA, FL 33647-3767
(813) 405-5107
(813) 405-5107
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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