YOUR PLACE HEALTH SYSTEM LLC NPI 1801129119

NPI Information

YOUR PLACE HEALTH SYSTEM LLC is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. YOUR PLACE HEALTH SYSTEM LLC NPI is 1801129119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1793 W HILLSBOROUGH AVE
TAMPA, FL
ZIP 33603-130
Phone: (813) 443-0866
Fax: (813) 225-1583

The provider's authorized official is Sydel Y Legrande .
The authorized official title is Owner and has the following contact phone number (813) 443-0866.

The CLIA number assigned to this NPI record is 10D2004320 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2009 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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