Individual
SAMANTHA LAMADIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 S 51ST ST, TAMPA, FL 33619-3703
(813) 900-6018
Mailing address
709 SOUTH 51ST, TAMPA, FL 33619
(813) 900-6018
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
6906878
FL
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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