Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - Bay Area - St. Petersburg
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIR LICENSURE & CERTIFICATION)
(502) 596-6063
Entity
Organization
Contact information
Practice address
3030 6TH ST S, ST PETERSBURG, FL 33705-3720
(727) 894-8719
(727) 894-0257
Mailing address
PO BOX 530631, ATLANTA, GA 30353-0631
(727) 894-8719
(727) 894-0257
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010276800
—
FL
01
—
Y31
BLUE CROSS
FL
Enumeration date
10/25/2006
Last updated
04/22/2026
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