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Organization

LIGHTHOUSE HEALTHCARE GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STUART SEBRING SIERRA JR. (PRESIDENT)
(813) 442-5492
Entity
Organization

Contact information

Practice address
3330 S MACDILL AVE, TAMPA, FL 33629-8822
(813) 442-5492
Mailing address
509 GUISANDO DE AVILA, SUITE 200, TAMPA, FL 33613-5235
(813) 442-5492

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8348
FL

Other

Enumeration date
03/03/2014
Last updated
03/03/2014
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