Organization
BELVEDERE COMMONS OF TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ANNE RISTOW (EXECUTIVE DIRECTOR)
(813) 265-0844
Entity
Organization
Contact information
Practice address
1513 W FLETCHER AVE, TAMPA, FL 33612-3315
(813) 265-0844
(813) 265-1446
Mailing address
1513 W FLETCHER AVE, TAMPA, FL 33612-3315
(813) 265-0844
(813) 265-1446
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL8803
FL
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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