Provider Demographics
NPI:1831489319
Name:INFANTS & YOUNG CHILDREN OF WEST CENTRAL FLORIDA INC
Entity Type:Organization
Organization Name:INFANTS & YOUNG CHILDREN OF WEST CENTRAL FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-375-3980
Mailing Address - Street 1:1308 W SLIGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5902
Mailing Address - Country:US
Mailing Address - Phone:813-375-3980
Mailing Address - Fax:813-375-3984
Practice Address - Street 1:1308 W SLIGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5902
Practice Address - Country:US
Practice Address - Phone:813-375-3980
Practice Address - Fax:813-375-3984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency