Organization
PALM GARDEN OF TAMPA LLC
Active
Other names
Palm Garden of Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS H. MILLER (AUTHORIZED REPRESENTATIVE)
(941) 952-9411
Entity
Organization
Contact information
Practice address
3612 E 138TH AVE, TAMPA, FL 33613-4703
(813) 972-8775
(813) 978-0680
Mailing address
2033 MAIN ST, SUITE 302, SARASOTA, FL 34237-6056
(941) 952-9411
(941) 952-9331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1420095
FL
Other
Enumeration date
09/10/2013
Last updated
12/04/2013
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