Organization
ANGEL LOVIN TRUST CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA CAMARA (PRESIDENT)
(813) 802-6174
Entity
Organization
Contact information
Practice address
1721 WOODMARKER CT, BRANDON, FL 33510-2760
(813) 802-6174
Mailing address
PO BOX 478, BRANDON, FL 33509-0478
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
229917
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692057801
—
FL
05
—
692057898
—
FL
Enumeration date
06/29/2008
Last updated
01/27/2009
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