Organization
WESTPORT HOLDINGS TAMPA, LIMITED PARTNERSHIP
Active
Other names
University Village Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SCOTT PARKER (EXECUTIVE DIRECTOR)
(813) 975-5475
Entity
Organization
Contact information
Practice address
12401 N 22ND ST, TAMPA, FL 33612-4670
(813) 975-5475
(813) 977-2688
Mailing address
12401 N 22ND ST, TAMPA, FL 33612-4670
(813) 975-5475
(813) 977-2688
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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