MEDICARE: MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598361719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	2513 W HILLSBOROUGH AVE STE 210
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6122
Country	:	US
Telephone Number	:	813-450-1052
Fax Number	:	813-450-1053

Provider Business Practice Location Address
First Line	:	2513 W HILLSBOROUGH AVE STE 210
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6122
Country	:	US
Telephone Number	:	813-450-1052
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUNAMYS MIRALLES CARDET
Credential	:
Telephone Number	:	813-443-5530

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	05/28/2025

Similar Medicare Providers

1609723832 — MARIAMANDA LABRADA VELIZ
Practice Location Address:

2513 W HILLSBOROUGH AVE
TAMPA, FL
33614-6122

Practice Phone: 813-981-0006
Practice Fax:

1376498394 — LISANDRA LOPEZ FERNANDEZ
Practice Location Address:

2513 W HILLSBOROUGH AVE
TAMPA, FL
33614-6122

Practice Phone: 813-981-0006
Practice Fax:

1962358721 — KENIA LEON GUZMAN
Practice Location Address:

2513 W HILLSBOROUGH AVE
TAMPA, FL
33614-6122

Practice Phone: 813-981-0006
Practice Fax:

1972608800 — MS. MARY ULRIKSEN BRIGHT LCSW
Practice Location Address:

2513 W HILLSBOROUGH AVE STE 210
TAMPA, FL
33614-6122

Practice Phone: 813-450-1052
Practice Fax:

1528536067 — YISETT FLEITAS BARROSO
Practice Location Address:

2513 W HILLSBOROUGH AVE STE 210B
TAMPA, FL
33614-6122

Practice Phone: 813-981-0006
Practice Fax:

1831787464 — ANTHONY SAAD PHARMD
Practice Location Address:

2513 W HILLSBOROUGH AVE STE 107
TAMPA, FL
33614-6122

Practice Phone: 813-570-7444
Practice Fax: 813-570-6090

Directions to “MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.