Healthcare Provider Details

I. General information

NPI: 1063966851
Provider Name (Legal Business Name): OBANDO CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15310 AMBERLY DR STE 250
TAMPA FL
33647-1642
US

IV. Provider business mailing address

7511 QUAIL HOLLOW BLVD
WESLEY CHAPEL FL
33544-2400
US

V. Phone/Fax

Practice location:
  • Phone: 813-333-2120
  • Fax: 813-907-1580
Mailing address:
  • Phone: 813-333-2120
  • Fax: 813-907-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MONICA OBANDO
Title or Position: OWNER
Credential:
Phone: 813-333-2120