GALE MARIE PHILSON


Address: 3804 E Hanna Ave, Tampa, FL 33610-3759
Phone: 8134954997

GALE MARIE PHILSON (NPI# 1871145490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871145490
Entity Type Individual
Full Name GALE MARIE PHILSON
Practice Address 3804 E Hanna Ave
Tampa
FL 33610-3759
Practice Telephone 8134954997
Practice Fax Number 8662144347
Mailing Telephone 8134954997
Mailing Fax Number 8662144347
Enumeration Date 2019-07-13
Last Update Date 2019-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Office Location

Street Address 3804 E HANNA AVE
City TAMPA
State FL
Zip Code 33610-3759

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1245757707 Duy Dang Behavioral Analyst 4402 Claymore Dr Unit 203, Tampa, FL 33610 2017-08-25
1144745043 Jonequa Baker Home Health Aide 709 North Castle Court, Tampa, FL 33610 2017-08-11
1619401338 Dedicated Senior Medical Center East Tampa, LLC. Non-Pharmacy Dispensing Site 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 2017-04-19
1669917423 Olivia Anderson Counselor 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 2017-01-03
1952779050 Tampa Family Health Centers, Inc Clinic/Center 3100 E. Fletcher Avenue, Tampa, FL 33610 2015-09-04
1215303821 Morissa Kidd Technician, Other 8062 Deerwood Circle, Tampa, FL 33610 2015-08-18
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1629687736 One Quest, LLC Clinic/Center 5362 Southwick Dr, Tampa, FL 33624-4124 2020-07-24
1467061572 Glkp LLC Clinic/Center 1222 W Fletcher Ave, Tampa, FL 33612-3364 2020-07-24
1528685377 Just Like My Home Too, LLC Clinic/Center 8109 Tanglewood Ln, Tampa, FL 33615-4636 2020-06-28
1083235626 Marie A Adams Clinic/Center 1312 Larsen Ln, Tampa, FL 33619-4808 2020-05-06
1831725472 Talesia Clarke Clinic/Center 6701 N 22nd St, Tampa, FL 33610-1338 2020-03-16
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1295371193 Delucie Augustin Clinic/Center 8712 Busch Oaks St, Tampa, FL 33617-6006 2019-11-26
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Competitor

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City TAMPA
Zip Code 33610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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