Organization
NOVUM TAMPA SNF, LLC
Active
Other names
The Nursing Center at University Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS M KLINOWSKI (CEO)
(407) 319-4427
Entity
Organization
Contact information
Practice address
12250 N 22ND ST, TAMPA, FL 33612-4955
(813) 972-8001
Mailing address
3152 LITTLE RD, SUITE 146, TRINITY, FL 34655-1864
(813) 920-3133
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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