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Organization
WESTPORT HOLDINGS TAMPA, LIMITED PARTNERSHIP
Active
Organization
WESTPORT HOLDINGS TAMPA, LIMITED PARTNERSHIP
Active
Other names
University Village Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SCOTT PARKER (EXECUTIVE DIRECTOR)
(813) 975-5475
Entity
Organization
Contact information
Practice address
12401 N 22ND ST, TAMPA, FL 33612-4670
(813) 975-5475
(813) 977-2688
Mailing address
12401 N 22ND ST, TAMPA, FL 33612-4670
(813) 975-5475
(813) 977-2688
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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