Individual
FRANK BUITRAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-2273
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
ISW15609
FL
1041C0700X
Clinical Social Worker
149.030064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-2388083
—
FL
05
—
86-2388083
—
IL
Enumeration date
06/06/2022
Last updated
12/15/2025
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