Vyzas, Bonaventuras Michael

Vyzas, Bonaventuras Michael is an individual health care provider with primary practice located at 16544 N Dale Mabry Hwy , Tampa FL 33618-1325. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Vyzas, Bonaventuras Michael can be contacted via phone (813) 960-8622.

Contact Information

Primary practice address
16544 N Dale Mabry Hwy Tampa FL 33618-1325
Phone: (813) 960-8622
Fax: (813) 960-1554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0001886 Florida

Profile Details

NPI number 1306823380
LBN Legal business name Vyzas, Bonaventuras Michael
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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