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Organization

GLOBAL DESTINATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANTOINETTE Y DAVIS (OWNER/CEO)
(813) 450-7481
Entity
Organization

Contact information

Practice address
550 N REO STREET, SUITE 300, TAMPA, FL 33609
(321) 607-2343
(813) 730-1908
Mailing address
4532 W KENNEDY BLVD # 122, TAMPA, FL 33609-2042
(321) 607-2343
(813) 730-1908

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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