Organization
SPECTRUM BEHAVIORAL SOLUTIONS OF TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN LISI (OFFICE MANAGER)
(813) 285-2283
Entity
Organization
Contact information
Practice address
1649 BLOOMINGDALE AVE, VALRICO, FL 33596-6118
(813) 285-2283
Mailing address
1649 BLOOMINGDALE AVE, VALRICO, FL 33596-6118
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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