Organization
WESTMINSTER SHORES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY T KEITH (CHIEF FINANCIAL OFFICER)
(407) 839-5050
Entity
Organization
Contact information
Practice address
125 56TH AVE S, ST PETERSBURG, FL 33705-5400
(727) 867-2131
(727) 866-8454
Mailing address
80 W LUCERNE CIR, ORLANDO, FL 32801-3779
(407) 839-5050
(407) 849-1718
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
RA644
FL
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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