Organization
ABLE CARE CONNECT OF TAMPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE LAVISCOUNT (CONSULTANT)
(404) 266-9876
Entity
Organization
Contact information
Practice address
400 LAKE AVE NE, LARGO, FL 33771-1684
(952) 361-8038
Mailing address
400 LAKE AVE NE, LARGO, FL 33771-1684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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