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Organization
TAMPA BAY HOME HEALTH LLC
Active
Organization
TAMPA BAY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI RAY BRISTOW PT, DPT (OWNER)
(502) 759-2879
Entity
Organization
Contact information
Practice address
3204 W SAN LUIS ST, TAMPA, FL 33629-8020
(502) 759-2879
(813) 902-6631
Mailing address
3204 W SAN LUIS ST, TAMPA, FL 33629-8020
(502) 759-2879
(813) 902-6631
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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