Organization
BLC TAMPA-GC,LLC
Active
Other names
Brookdale Bayshore
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
4902 BAYSHORE BLVD, TAMPA, FL 33611-3870
(813) 835-4475
(813) 831-1382
Mailing address
4902 BAYSHORE BLVD, TAMPA, FL 33611-3870
(813) 835-4475
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
03/20/2025
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