Organization
REHABILITATION CENTER OF ST PETERSBURG INC
Active
Other names
Rehabilitation Center of St Pete
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EARL WARREN (PRESIDENT)
(727) 822-1871
Entity
Organization
Contact information
Practice address
435 42ND AVE S, ST PETERSBURG, FL 33705-4504
(727) 822-1871
(727) 894-0836
Mailing address
435 42ND AVE S, ST PETERSBURG, FL 33705-4504
(727) 822-1871
(727) 894-0836
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10 5772
PART A MEDICARE PROVIDER#
FL
Enumeration date
10/08/2008
Last updated
09/12/2011
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