Organization
MACDONALD TRANING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FREYVOGEL (CEO)
(813) 870-1300
Entity
Organization
Contact information
Practice address
5420 W CYPRESS ST, TAMPA, FL 33607-1706
(813) 870-1300
(813) 872-6010
Mailing address
5420 W CYPRESS ST, TAMPA, FL 33607-1706
(813) 870-1300
(813) 872-6010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024103296
—
FL
05
—
024103298
—
FL
Enumeration date
09/13/2010
Last updated
09/13/2010
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