Organization
ADEM HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEHINDE ADE OLAYISADE (ADMINISTRATOR)
(813) 420-8036
Entity
Organization
Contact information
Practice address
8002 LA SERENA DR, TAMPA, FL 33614-2735
(813) 933-9673
Mailing address
8002 LA SERENA DR, TAMPA, FL 33614-2735
(813) 933-9673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
692678998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692978996
—
FL
Enumeration date
07/22/2008
Last updated
07/22/2008
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