Organization
SURREY PLACE OF BRADENTON LLC
Active
Other names
Surrey Place Conv Center of Bradenton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D. MITCHELL (PRESIDENT)
(850) 386-2831
Entity
Organization
Contact information
Practice address
5525 21ST AVE W, BRADENTON, FL 34209-5601
(941) 795-0448
(941) 757-4295
Mailing address
2123 CENTRE POINTE BLVD, TALLAHASSEE, FL 32308-4930
(850) 386-2831
(850) 386-2016
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025627700
—
FL
Enumeration date
08/03/2005
Last updated
03/18/2014
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