RESURGENCE TAMPA BAY LLC NPI 1871114801

NPI Information

RESURGENCE TAMPA BAY LLC is a substance abuse rehabilitation facility in Tampa, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RESURGENCE TAMPA BAY LLC NPI is 1871114801. The provider is registered as an organization entity type.

The provider's business location address is:

3808 GUNN HWY
TAMPA, FL
ZIP 33618-757
Phone: (813) 600-5133

The provider's authorized official is Christina Sanchez Miller .
The authorized official title is Cfo and has the following contact phone number (813) 600-5133.

The CLIA number assigned to this NPI record is 10D2191139 - other - substance abuse with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/30/2020.

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:

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