Organization
CORA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELLITZA ESTRADA PTA (MANAGER)
(813) 751-5723
Entity
Organization
Contact information
Practice address
16103 STAGS LEAP DR, LUTZ, FL 33559-2003
(813) 325-9562
Mailing address
16103 STAGS LEAP DRIVE, LUTZ, FL 33559
(813) 325-9562
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PTA 26602
FL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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