NPI 1649432865

Angel Lovin Trust Care Corp.

Organisation Exclusive Provider Organization Brandon, FL

Practice location

Address: 1721 Woodmarker CT, Brandon, FL 33510-2760
Phone: (813) 802-6174
Mailing address: PO Box 478, Brandon, FL 33509-0478

Authorised official

Name: Margarita Camara
Title: President
Phone: (813) 802-6174

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 229917 (FL)

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Registry record

NPI: 1649432865
Entity type: Organization
NPI issued: 29 Jun 2008
Record last updated: 27 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.