Organization
SELAHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ADEDOYIN (MGR)
(407) 967-8236
Entity
Organization
Contact information
Practice address
1416 N TAYLOR RD, BRANDON, FL 33510-2425
(407) 967-8236
Mailing address
1416 N TAYLOR RD, BRANDON, FL 33510-2425
(407) 967-8236
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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