Organization
UNITED CEREBRAL PALSY OF TAMPA BAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J WHITE M.S., CCC/SLP (DIRECTOR OF PROGRAM DEVELOPMENT)
(813) 239-1179
Entity
Organization
Contact information
Practice address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 237-3091
Mailing address
2215 E HENRY AVE, TAMPA, FL 33610-4432
(813) 239-1179
(813) 237-3091
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811441200
—
FL
Enumeration date
12/26/2012
Last updated
12/26/2012
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