Organization
UNITED STATES MANAGEMENT
Active
Other names
United States Management
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA VANN (MANAGER)
(813) 454-9354
Entity
Organization
Contact information
Practice address
1419 W WATERS AVE STE 105, TAMPA, FL 33604-2896
(813) 454-9354
Mailing address
3005 E CHELSEA ST, TAMPA, FL 33610-6913
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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