Organization
BRIDGES NURSING AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL VAUGHAN (PRESIDENT)
(813) 341-2700
Entity
Organization
Contact information
Practice address
1203 E 22ND AVE, TAMPA, FL 33605-1719
(813) 229-6901
(813) 676-0126
Mailing address
1240 MARBELLA PLAZA DR., TAMPA, FL 33619-7906
(813) 341-2700
(813) 676-0126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002299400
—
FL
Enumeration date
06/17/2009
Last updated
12/03/2010
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