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Organization

JUANITO GASPAR

Active
Other names
ADAMSAFCH
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUANITO GASPAR OWNER (ADMINISTRATOR)
(727) 441-2942
Entity
Organization

Contact information

Practice address
1224 ADAMS AVE, CLEARWATER, FL 33756-4255
(727) 441-2942
Mailing address
1224 ADAMS AVE, CLEARWATER, FL 33756-4255
(727) 441-2942

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
6906642
FL
261QM0850X
Adult Mental Health Clinic/Center
Primary
6906642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6906642
AHCA-ADULT FAMILY CARE HOME
FL
Enumeration date
12/11/2013
Last updated
12/11/2013
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