LISSMART REHABILITATION OF TAMPA,INC
Ambulatory Health at Waters Ave, Tampa, FL

License number
Florida HCC7865
Category
Ambulatory Health
Type
Rehabilitation
Owner
Name: LISVET MARTINEZ
Title: V.PRESIDENT
Phone: (813) 888-7177
Address
Address
8130 W Waters Ave, Tampa, FL 33615
National Provider ID: 1639407638
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Lissmart Rehabilitation of Tampa, Inc

Tampa, FL

Status:
Inactive
Industry:
Individual/Family Services
Registration:
Nov 10, 2009
Addresses:
6712 Hanley Rd, Tampa, FL 33634
8130 W Waters Ave, Tampa, FL 33615
State ID:
P09000092515
Business type:
Domestic for Profit Corporation
Presidents:
Lisvet Martinez President, Vice President, inactive,Nelson C. Martinez President, Vice President, inactive,Hector M. Mayoral President, inactive

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