Mr. James A Fagbodun, ADMINISTRATOR
Mr. James A Fagbodun, ADMINISTRATOR is an Assisted Living Facility in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
10648 Lucaya DrTampa, FL 33647-3530
Phone: (813) 230-7628
Fax: (813) 991-9749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X (FL) |
|---|
Record details
| NPI number | 1699126326 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ADMINISTRATOR |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2016 |
| Last updated in NPPES | July 4, 2016 |
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