Organization
TLC MEDICAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO A MOONEY SOLE DC (OWNER)
(813) 238-4900
Entity
Organization
Contact information
Practice address
829 W MARTIN LUTHER KING JR BLVD, SUITE 100, TAMPA, FL 33603-3309
(813) 238-4900
(813) 238-4910
Mailing address
829 W MARTIN LUTHER KING JR BLVD, SUITE 100, TAMPA, FL 33603-3309
(813) 238-4900
(813) 238-4910
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC7960
FL
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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