Provider Demographics
NPI:1710154869
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:FERNANDA
Authorized Official - Last Name:PINZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-936-7700
Mailing Address - Street 1:1502 W BUSCH BLVD
Mailing Address - Street 2:SUITE J
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7668
Mailing Address - Country:US
Mailing Address - Phone:813-936-7700
Mailing Address - Fax:813-936-7709
Practice Address - Street 1:300 FRANDORSON CIR
Practice Address - Street 2:SUITE 203
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2682
Practice Address - Country:US
Practice Address - Phone:813-641-3565
Practice Address - Fax:813-641-3560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management