Organization
FREEDOM FARM OF TAMPA BAY AND THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ELLIS (OWNER)
(727) 204-7911
Entity
Organization
Contact information
Practice address
8701 64TH ST N, PINELLAS PARK, FL 33782-4704
(727) 204-7911
Mailing address
8701 64TH ST N, PINELLAS PARK, FL 33782-4704
(727) 204-7911
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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