Healthcare Provider Details

I. General information

NPI: 1336585017
Provider Name (Legal Business Name): KEY ASSETS FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9280 BAY PLAZA BLVD SUITE 716
TAMPA FL
33619
US

IV. Provider business mailing address

9280 BAY PLAZA BLVD SUITE 716
TAMPA FL
33619
US

V. Phone/Fax

Practice location:
  • Phone: 813-620-0451
  • Fax: 813-623-6127
Mailing address:
  • Phone: 813-620-0451
  • Fax: 813-623-6127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINA ELIS SUAREZ
Title or Position: STATE DIRECTOR
Credential: LCSW, CWCM
Phone: 352-281-8461