Individual
MARCSON ERDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2313 W ARCH ST, TAMPA, FL 33607-5303
(813) 965-5174
Mailing address
2313 W ARCH ST, TAMPA, FL 33607-5303
(813) 965-5174
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906986
FL
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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