Healthcare Provider Details

I. General information

NPI: 1639086077
Provider Name (Legal Business Name): ABBY B CHIOVARO CTRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY B WOLF CTRS

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

10207 BUD RHODEN RD
PALMETTO FL
34221-8676
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: