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Organization

MCZELL HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA LONETTE MCZELL RN (ADMINISTRATOR)
(813) 377-5422
Entity
Organization

Contact information

Practice address
2301 E COLBY LN, TAMPA, FL 33612-7157
(813) 377-5422
Mailing address
13071 119TH ST, LARGO, FL 33778-1411
(813) 377-5422

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11405
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000137600
FL
05
000395400
FL
05
000395401
FL
05
000467900
FL
05
000467901
FL
Enumeration date
03/01/2009
Last updated
03/01/2009
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