Organization
AUSTIN HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO LI LMT (OWNER)
(813) 281-8962
Entity
Organization
Contact information
Practice address
1411 N WEST SHORE BLVD, SUITE 205, TAMPA, FL 33607-4515
(813) 281-8962
(813) 289-5691
Mailing address
1411 N WEST SHORE BLVD, SUITE 205, TAMPA, FL 33607-4515
(813) 281-8962
(813) 289-5691
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7892
FL
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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