Organization
TAMPA THA OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM LOREN (EXECUTIVE VICE PRESIDENT)
(914) 844-4836
Entity
Organization
Contact information
Practice address
1203 E. 22ND AVE, TAMPA, FL 33605
(813) 229-6901
Mailing address
3845 CARPENTER AVENUE, BRONX, NY 10467
(718) 798-1100
(646) 496-9182
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
03/10/2026
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