Provider Demographics
NPI:1326733346
Name:SPENCENA DALMAS INC
Entity Type:Organization
Organization Name:SPENCENA DALMAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-900-8176
Mailing Address - Street 1:7009 INTERBAY BLVD APT 102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33616-1753
Mailing Address - Country:US
Mailing Address - Phone:813-900-8176
Mailing Address - Fax:
Practice Address - Street 1:7009 INTERBAY BLVD APT 102
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33616-1753
Practice Address - Country:US
Practice Address - Phone:813-900-8176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency