Provider Demographics
NPI:1467325522
Name:HILLSBOROUGH THERAPY CENTER
Entity type:Organization
Organization Name:HILLSBOROUGH THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRECIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LLANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-399-9418
Mailing Address - Street 1:2526 E TAMPA BAY BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:TAMPA BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2526 W TAMPA BAY BLVD STE E
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6803
Practice Address - Country:US
Practice Address - Phone:813-964-6825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty