Healthcare Provider Details

I. General information

NPI: 1124938410
Provider Name (Legal Business Name): AGAPE FAMILY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 DOGWOOD AVE
TAMPA FL
33613-1718
US

IV. Provider business mailing address

1132 DOGWOOD AVE
TAMPA FL
33613-1718
US

V. Phone/Fax

Practice location:
  • Phone: 813-324-0499
  • Fax:
Mailing address:
  • Phone: 813-324-0499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN SPICER
Title or Position: PROVIDER
Credential:
Phone: 813-324-0499