Organization
SENIORS IN SERVICE OF TAMPA BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE H. PUTERMAN (PRESIDENT & CEO)
(813) 932-5228
Entity
Organization
Contact information
Practice address
1306 W. SLIGH AVENUE, TAMPA, FL 33604-5902
(813) 932-5228
(813) 932-9604
Mailing address
1306 W. SLIGH AVENUE, TAMPA, FL 33604-5902
(813) 932-5228
(813) 932-9604
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
5776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672457400
—
FL
Enumeration date
09/29/2010
Last updated
09/29/2010
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