Organization
MEMORIAL MEDICAL CENTER INC
Active
Organization
MEMORIAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAVYS HUICE (OWNER)
(813) 605-4725
Entity
Organization
Contact information
Practice address
8001 N DALE MABRY HWY STE 501, TAMPA, FL 33614-3265
(813) 605-4725
(813) 605-4726
Mailing address
8001 N DALE MABRY HWY STE 501, TAMPA, FL 33614-3265
(813) 605-4725
(813) 605-4726
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
HCC 10337
FL
Other
Enumeration date
05/07/2015
Last updated
10/27/2020
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