Organization
SECOND START FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD THOMAS (QUALITY MANAGEMENT DIRECTOR)
(919) 423-9062
Entity
Organization
Contact information
Practice address
9815 MEADOW FIELD CIR, TAMPA, FL 33626-5104
(919) 423-9062
Mailing address
9815 MEADOW FIELD CIR, TAMPA, FL 33626-5104
(919) 423-9062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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