Organization
MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNAMYS MIRALLES CARDET (OWNER)
(786) 503-4750
Entity
Organization
Contact information
Practice address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 450-1052
Mailing address
2513 W HILLSBOROUGH AVE STE 210, TAMPA, FL 33614-6122
(813) 450-1052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
09/14/2023
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