Organization
GUARDIAN ANGEL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXEIS MACUYA (OWNER.)
(813) 877-5320
Entity
Organization
Contact information
Practice address
1931 W DR MARTIN LUTHER KING JR BLVD STE A2, TAMPA, FL 33607-6529
(813) 877-5320
(813) 304-0763
Mailing address
3550 W WATERS AVE STE 101, TAMPA, FL 33614-2767
(813) 877-5320
(813) 644-6919
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
26QR0401X
FL
Other
Enumeration date
01/24/2007
Last updated
09/24/2024
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