Healthcare Provider Details

I. General information

NPI: 1043636103
Provider Name (Legal Business Name): VISIONS AT WORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N. FREMONT AVE
TAMPA FL
33606
US

IV. Provider business mailing address

501 N. FREMONT AVE
TAMPA FL
33606
US

V. Phone/Fax

Practice location:
  • Phone: 813-412-0090
  • Fax: 813-254-1083
Mailing address:
  • Phone: 813-412-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number228732
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number228732
License Number StateFL

VIII. Authorized Official

Name: MS. SONYA C WILLIAMS
Title or Position: PRES/OWNER
Credential:
Phone: 813-412-0090