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Active
Other names
Zandra Michel
Organization subpart
No

Provider details

NPI number
Authorized official
ZANDRA MICHEL (OWNER)
(509) 845-9274
Entity
Organization

Contact information

Practice address
14495 UNIVERSITY COVE PL, TAMPA, FL 33613-3741
(813) 308-9335
Mailing address
14495 UNIVERSITY COVE PL, TAMPA, FL 33613-3741
(813) 308-9335

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
09/09/2021
Last updated
09/09/2021
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