Organization
DEVANICASPECIALTYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO DAVID MENDEZ JR. 011170 (OWNER)
(813) 727-1611
Entity
Organization
Contact information
Practice address
7513 FRAGANCIA CT, TAMPA, FL 33615-2418
(813) 727-1611
(813) 901-8888
Mailing address
7513 FRAGANCIA CT, TAMPA, FL 33615-2418
(813) 727-1611
(813) 901-8888
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230468
FL
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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