Organization
LIFESHARE MANAGEMENT GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE VELTRI M.S. (CLINICIAN)
(904) 631-9375
Entity
Organization
Contact information
Practice address
6323 MEMORIAL HWY, TAMPA, FL 33615-4509
(813) 891-9474
Mailing address
6323 MEMORIAL HWY, TAMPA, FL 33615-4509
(813) 891-9474
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMH 9018
FL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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