Healthcare Provider Details

I. General information

NPI: 1821851692
Provider Name (Legal Business Name): PEOPLE CHOICE ADVOCACY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 BEARBERRY CIR APT 203
LUTZ FL
33559-8782
US

IV. Provider business mailing address

10861 CROSS CREEK BLVD STE 300
TAMPA FL
33647-4033
US

V. Phone/Fax

Practice location:
  • Phone: 656-238-8001
  • Fax: 888-252-6515
Mailing address:
  • Phone: 813-334-0663
  • Fax: 813-364-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KELLY ANNETTE BURRISS
Title or Position: OWNER
Credential:
Phone: 656-238-8001