MEDICARE: POSITIVE SPIN, INC

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1861722878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIVE SPIN, INC

Provider Business Mailing Address
First Line	:	PO BOX 310065
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33680-0065
Country	:	US
Telephone Number	:	813-977-7677
Fax Number	:	813-977-5017

Provider Business Practice Location Address
First Line	:	5118 N 56TH ST
Second Line	:	SUITE 224
City	:	TAMPA
State	:	FL
Zip	:	33610-5416
Country	:	US
Telephone Number	:	813-977-7677
Fax Number	:	813-977-5017

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. JADA MCMILLON
Credential	:
Telephone Number	:	813-977-7677

Provider Enumeration Date	:	01/14/2010
Last Update Date	:	09/23/2013

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Directions to “POSITIVE SPIN, INC ” Practice Location

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