Provider Demographics
NPI:1497147375
Name:DREAMS COME TRUE TAMPA CORPORATION
Entity Type:Organization
Organization Name:DREAMS COME TRUE TAMPA CORPORATION
Other - Org Name:DREAMS COME TRUE TAMPA CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMPERATRIZ
Authorized Official - Middle Name:V
Authorized Official - Last Name:BUEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-260-4938
Mailing Address - Street 1:PO BOX 260021
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33685
Mailing Address - Country:US
Mailing Address - Phone:813-260-4938
Mailing Address - Fax:813-884-8601
Practice Address - Street 1:3001 N ROCKY POINT DR # 200-227
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5802
Practice Address - Country:US
Practice Address - Phone:813-260-4938
Practice Address - Fax:813-884-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health