Provider Demographics
NPI:1821851692
Name:PEOPLE CHOICE ADVOCACY CENTER, LLC
Entity Type:Organization
Organization Name:PEOPLE CHOICE ADVOCACY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:BURRISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-334-0663
Mailing Address - Street 1:10861 CROSS CREEK BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-4033
Mailing Address - Country:US
Mailing Address - Phone:813-334-0663
Mailing Address - Fax:813-364-1740
Practice Address - Street 1:10861 CROSS CREEK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-4033
Practice Address - Country:US
Practice Address - Phone:813-334-0663
Practice Address - Fax:813-364-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty