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Organization

SA-ST. PETERSBURG, LLC

Active
Other names
Palm Terrace of St. Petersburg
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE WERTHEIM (CFO)
(914) 390-4322
Entity
Organization

Contact information

Practice address
521 69TH AVE N, ST PETERSBURG, FL 33702-6810
(727) 526-7000
(727) 527-7270
Mailing address
521 69TH AVE N, ST PETERSBURG, FL 33702-6810
(727) 526-7000
(727) 527-7270

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1240961
FL

Other

Enumeration date
06/22/2005
Last updated
08/22/2020
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