Organization
GULFSIDE HEALTH & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DIAMANTIDES (OWNER)
(813) 890-7246
Entity
Organization
Contact information
Practice address
8316 HANLEY RD, STE 1-2, TAMPA, FL 33634-2284
(813) 890-7246
Mailing address
8316 HANLEY RD, STE 1-2, TAMPA, FL 33634-2284
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH 8790
FL
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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