Individual
LILY BUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2731 E 15TH AVE, TAMPA, FL 33605-2927
(813) 993-2760
Mailing address
2731 E 15TH AVE, TAMPA, FL 33605-2927
(813) 993-2760
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
08/15/2025
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