Organization
THE DIVERSITY INITIATIVE
Active
Organization
THE DIVERSITY INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PRIBANIC BA (PRESIDENT)
(813) 850-4736
Entity
Organization
Contact information
Practice address
9250 BAY PLAZA BLVD STE 310, TAMPA, FL 33619-4465
(813) 644-6829
(813) 644-3830
Mailing address
9250 BAY PLAZA BLVD STE 310, TAMPA, FL 33619-4465
(813) 644-6829
(813) 644-3830
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161185275
—
FL
Enumeration date
02/11/2014
Last updated
02/11/2014
Update your record
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