Provider Demographics
NPI:1215229414
Name:HISPANIC SERVICES COUNCIL
Entity Type:Organization
Organization Name:HISPANIC SERVICES COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-936-7700
Mailing Address - Street 1:400 FRANDORSON CIR STE 103
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2688
Mailing Address - Country:US
Mailing Address - Phone:813-641-3565
Mailing Address - Fax:
Practice Address - Street 1:400 FRANDORSON CIR STE 103
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2688
Practice Address - Country:US
Practice Address - Phone:813-641-3565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management