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Organization

SA-PG TAMPA, LLC D/B/A PALM GARDEN OF TAMPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT J ALLEN NHA (ADMINISTRATOR)
(813) 972-8775
Entity
Organization

Contact information

Practice address
3612 E 138TH AVE, TAMPA, FL 33613-4703
(813) 972-8775
(813) 978-0680
Mailing address
3612 E 138TH AVE, TAMPA, FL 33613-4703
(813) 972-8775
(813) 978-0680

Taxonomy

Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
SNF13770961
FL

Other

Enumeration date
06/27/2005
Last updated
08/22/2020
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